Case Studies—Cardiovascular System Operative Reports
Operative Note
Abstract from Documentation:
Refer to the Coronary Artery Bypass range of procedures beginning with 33510.
a. How are the codes organized?
b. How many grafts were achieved with the use of the saphenous vein graft?
c. What guidelines pertain to reporting combined arterial-venous grafts?
d. Time to Code:
a. One (LAD)
b.Three (RCA, obtuse marginal branch of circumflex, and diagonal branch)
c. Locate the guideline before code 33517 that states the following:
Need two codes:
1. Appropriate arterial graft code (33533–33536)
2. Appropriate combined arterial-venous graft code (33517–33523)
d.
Index:
Coronary Artery Bypass, Arterial-Venous Bypass
Code(s):
33533-LD Coronary artery bypass, using arterial graft; single arterial graft
33519-RC Coronary artery bypass, using venous grafts and arterial graft(s); three venous grafts
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