icd 9 code for status post endovascular leak

Full Answer

What is the ICD 9 code for medical coding?

ICD-9-CM V45.89 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V45.89 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes).

What is the ICD 9 code for status postoperative NEC?

There are too many surgeries for the ICD9 to have a status post code for each of them, so V45.89 can be used for status postoperative NEC. It's what I use (when there isn't a specific status post code for the surgery we performed) if the patient isn't having issues and our Doc's are just rounding status post surgery.

What is the CPT code for endovascular extension?

Extensions may be placed at the time of initial endovascular repair, or may be placed at a later date, as necessary. Code +34709 is assigned at the time of initial endograft placement with code range 34701-34708. Report 34710 and +34711 for delayed placement of extensions at a later date.

What is the ICD 9 code for graft?

Short description: Comp-oth vasc dev/graft. ICD-9-CM 996.74 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 996.74 should only be used for claims with a date of service on or before September 30, 2015.

What is an endovascular leak?

An endoleak is a complication of endovascular aneurysm repair (EVAR) surgery, which involves inserting a stent to support parts of the aorta that were weakened by an aortic aneurysm. Ideally, the stent should serve as a new pathway for blood to flow through.

What is the ICD 10 code for endoleak?

ICD-10-CM Code for Leakage of aortic (bifurcation) graft (replacement), initial encounter T82. 330A.

What is an EVAR endoleak?

An endoleak is a complication that affects about 15-25% of patients who have EVAR. It means that some amount of blood flow still remains in the aneurysm cavity.

What is the ICD 10 code for type 2 endoleak?

This specific type of leak is not a mechanical breakdown of the graft itself, so the appropriate ICD-10-CM coding for a Type II leak (either IIa or IIb) is I97. 89 for Other postprocedural complications and disorders of the circulatory system, not elsewhere classified.

What happens when a stent leaks?

Endovascular stent grafts can sometimes leak blood through the areas where the graft components join together, or they can allow blood to leak back into the aneurysm sac through small arteries feeding the aneurysm sac. These leaks are called "endoleaks". Some of the leaks stop by themselves and are not dangerous.

What is code T82 898A?

898A - Other specified complication of vascular prosthetic devices, implants and grafts [initial encounter]

What are the different types of endoleaks?

Type I endoleaks are leaks at the proximal or distal attachment sites. Type II endoleaks are caused by retrograde flow through collateral vessels into the aneurysm sac. Type III endoleaks are holes, defects, or separations in the stent-graft material. Type IV endoleaks represent porous graft walls.

How is type 3 endoleak treated?

In late type III endoleaks, endovascular repair is often the primary treatment method. It involves the placement of a covered stent across the gap between the original endograft components or across the fabric disruption.

Which type of endoleak is most common?

Type II is the most common, making up 10–25% of all endoleaks (10). They occur from retrograde collateral blood flow into the aneurysm sac, typically from a lumbar artery or the inferior mesenteric artery (IMA).

What is an endoleak type 2?

Type II endoleak results from collateral retrograde flow from the aortic branches, usually from the lumbar arteries, inferior mesenteric artery, or middle sacral artery. 1,4. Because type II endoleaks are the most common type of endoleak after EVAR, they are generally considered to have a benign prognosis.

What is the CPT code for endovascular repair of abdominal aortic aneurysm?

For repair of an abdominal aortic aneurysm use CPT codes 36200, 36245-36248, and 36140 as appropriate.

What is the CPT code for endovascular aneurysm repair?

Code 34712 may be reported with both the abdominal and thoracic aortic endovascular repair codes or separately. The new EVR codes include a comprehensive set of arterial exposure, repair, and conduit reporting options.

What are the new codes for endovascular repair?

1. Multiple surgical codes (34800-34806, 34825-34826, 34900) and radiological supervision and interpretation (S&I) codes (75952-75954) were deleted and replaced with new codes describing endovascular repair of the abdominal aorta and/or iliac arteries. The new codes are assigned not only for abdominal aortic aneurysm (AAA) repair, but also for treatment of pseudoaneurysm, dissection, penetrating ulcer, or traumatic disruption of the aorta or iliac arteries. Some existing codes were revised for 2018, as well.#N#Editor’s Note: See the “Code Descriptors” sidebar for full code descriptions.

What is the code for femoral artery?

There is a single code (+34713) for percutaneous access and closure of the femoral artery; however, it is assigned only when a large sheath (12 French or larger) is required for delivery of the endograft. It includes ultrasound guided vascular access (e.g., +76937), when performed, and placement of dual closure devices. This code may be reported once, per side. Do not use +34713 with 37221, 37223, 37236, or 37237 when treating atherosclerotic disease with a covered stent.

What is the code for a conduit?

The conduit may be permanently attached, or it may be temporary. Codes for consideration are +34833, 34714, and +34716, which describe the establishment of cardiopulmonary bypass. Open exposure add-on codes are reported twice for bilateral open exposure.

Is an endograft reported separately?

For example, when an endograft terminates in the common iliac artery, any additional treatment of the common iliac artery is not reported separately. Only additional treatment in the external and/or internal iliac artery is reported. Several components still may be reported separately, including: