ICD-10-PCS Code 06LQ3DZ
1: Section | 0 | Medical and Surgical |
2: Body System | 6 | Lower Veins |
3: Root Operation | L | Occlusion |
4: Body Part | Q | Saphenous Vein, Left |
5: Approach | 3 | Percutaneous |
06LQ0ZZ is a valid billable ICD-10 procedure code for Occlusion of Left Saphenous Vein, Open Approach. It is found in the 2021 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021.
Short description: Embolism and thrombosis of superficial veins of low extrm The 2021 edition of ICD-10-CM I82.81 became effective on October 1, 2020. This is the American ICD-10-CM version of I82.81 - other international versions of ICD-10 I82.81 may differ.
Peripheral vascular angioplasty status with implants and grafts. The 2019 edition of ICD-10-CM Z95.820 became effective on October 1, 2018. This is the American ICD-10-CM version of Z95.820 - other international versions of ICD-10 Z95.820 may differ.
Short description: Embolism and thrombosis of superficial veins of low extrm. The 2019 edition of ICD-10-CM I82.81 became effective on October 1, 2018. This is the American ICD-10-CM version of I82.81 - other international versions of ICD-10 I82.81 may differ.
Note: As of October 1, 1994, coronary artery bypass graft occlusions due to atherosclerosis are coded to 414.02 or 414.03.
The phrase "vein graft occlusion" implies the graft is 100 percent closed (occluded). Ordinarily, this means there is no option for percutaneous revascularization of the graft itself, particularly if the occlusion is chronic.
Saphenous vein grafts (SVGs) are the most frequently used conduits for coronary artery bypass graft (CABG) surgery but are associated with 10-year vein graft failure (VGF) rates of 40−50%.
A saphenous vein graft was used for the bypass. Code 33510 describes a single vessel bypass using a vein. The saphenous vein harvesting is included in the code 33510. The use of an endoscope to guide harvesting of the vein is reported separately with code 33508.
Graft occlusion is commonly the result of stenosis at the anastomosic sites. The precise role of thrombolysis in the treatment of bypass graft thrombosis is somewhat controversial.
In the absence of effective pharmacological interventions for the treatment and prevention of occlusive vein graft disease, gene therapy has emerged as a potential therapeutic alternative. Gene therapy could improve vein graft patency by reducing early thrombosis, neointimal hyperplasia and atherosclerosis.
The small (short) saphenous vein (SSV) is located 1 cm posterior to the lateral malleolus, runs centrally up the posterior calf, and drains into the popliteal vein. As coronary artery bypass grafting (CABG) conduits, the saphenous veins have an 80-90% early patency rate, which decreases to 50% at 10 years.
The saphenous vein (SPV) is a commonly used conduit for bypass due to the ease of harvest, which can generally be done through minimally invasive procedures, with less scarring and faster recovery.
Coronary Artery Bypass Surgery. Coronary artery bypass grafting (CABG), also known as heart bypass surgery, is a procedure to restore blood flow to areas of your heart. Artery blockages can cut off blood flow, causing heart attacks or heart attack-like symptoms.
Code 93453 includes all left heart catheterization components, including the function of the mitral valves, aortic valves, and aortic valve regurgitation. For right and left heart catheterization with coronary angiography, refer to 93460.
The second major coronary artery stenting would be reported using the normal stent codes (92928) for the PC or for the facility if a bare metal stent was placed. If a DES was placed in the RC, you would report C9600 for the facility instead of 92928.
So I can code 92928 for additional stent placement with 92941... Yes you can.
There have been various treatment strategies to manage occluded bypass grafts. Several treatment strategies of stenosis of fem-pop bypass graft have been proposed, including surgical revision orthrombectomy, balloon angioplasty, catheter-based thrombolysis, and repeat bypass grafting.
Three processes are responsible for vein graft failure. Thrombosis, intimal hyperplasia and accelerated atherosclerosis contribute to graft failure in the acute, subacute and late postoperative periods, respectively.
After grafting, the implanted vein remodels to become more arterial, as veins have thinner walls than arteries and can handle less blood pressure. However, the remodeling can go awry and the vein can become too thick, resulting in a recurrence of clogged blood flow.
Treatment / Management These include endovascular reperfusion of the native vessel that was initially bypassed, endovascular reperfusion of the stenosed vein graft itself, or redo open surgery. If feasible, endovascular reperfusion of the native artery that was initially bypassed should be attempted first.
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code.
T82.857 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. Short description: Stenosis of other cardiac prosth dev/grft. The 2021 edition of ICD-10-CM T82.857 became effective on October 1, 2020.