Template:CCI Guideline Vascular graft

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This template puts the guidelines for transfusion into the relevant procedures.

To use:

{{CCI Guideline Vascular graft}}

Vascular graft guideline

Keywords for different kinds of bypasses so this can be found when searching: Axillofemoral bypass grafting / ax-fem bypass / axillobifemoral bypass, fem-tib bypass, fem-pop bypass, aorto-bi-iliac bypass, aorto-biiliac bypass, aorto-fem bypass

Harvesting for the graft

If they take a vessel from elsewhere (often a vein) to do the bypass, then you can also code the harvest by combining the appropriate Therapeutic Px from Category:Vessel with Procure, Harvest, Obtain for Further Use. Obviously if they use a dacron graft, then there'll be no harvesting.

Placing the graft

Code:

  • the CCI1 code for the target (bypassed) vessel at which the bypass ends, not the origin vessel from which the bypass (and blood flow) begins.
  • the CCI2 code Bypass / Repair as appropriate

Procedures done to a graft at a later time

Procedures performed on vascular grafts (either synthetic grafts or vessels harvested from elsewhere for use) are coded just as you would if the same thing was done to the native vessel.

When something is being done to a graft that's already in place, the "body part" of the CCI component code isn't the graft but rather is the native vessel that was there before grafting.

Example:   
Femoral artery dacron graft gets infected and is replaced.  The ICD10 diagnosis code would be Iatrogenic, infection, internal prosthetic device or implant or graft NOS, and the CCI code components would be (T) Arteries of Leg, NOS with Repair