what is the icd 10 code for prior median sternotomy and coronary artery bypass grafting

by Dr. Keara Hayes Jr. 9 min read

What is ICD-10 code for coronary artery bypass grafting?

ICD-10 code I25. 810 for Atherosclerosis of coronary artery bypass graft(s) without angina pectoris is a medical classification as listed by WHO under the range - Diseases of the circulatory system .

What is the ICD-10 code for sternotomy?

The 2022 edition of ICD-10-CM S22. 23XK became effective on October 1, 2021. This is the American ICD-10-CM version of S22.

What is the ICD-10 code for occluded bypass graft?

Note: As of October 1, 1994, coronary artery bypass graft occlusions due to atherosclerosis are coded to 414.02 or 414.03.

What is coronary artery bypass graft procedure?

A coronary artery bypass graft involves taking a blood vessel from another part of the body (usually the chest, leg or arm) and attaching it to the coronary artery above and below the narrowed area or blockage. This new blood vessel is known as a graft.

Why is a median sternotomy performed?

The median sternotomy is preferred by most cardiothoracic surgeons because it provides optimal exposure and access to the entire heart. It is generally used in patients undergoing an open heart procedure who also require ICD implantation.

What is the CPT code for sternotomy?

33020CPT code 33020 is performed via a median sternotomy, at which time the surgeon must be prepared for the possibility of profound hemodynamic collapse and/or the emergent establishment of cardiopulmonary bypass.

What is code T82 898A?

ICD-10-CM Code for Other specified complication of vascular prosthetic devices, implants and grafts, initial encounter T82. 898A.

What is PCS code 5A1221Z?

Performance of Cardiac Output, ContinuousICD-10-PCS Code 5A1221Z - Performance of Cardiac Output, Continuous - Codify by AAPC.

What are the 3 different types bypass grafts?

The variations of this surgery include:Off-pump CABG. This type of CABG doesn't use a heart-lung bypass machine. ... Minimally invasive CABG. This variation of CABG doesn't use a large incision and splitting/lifting of your sternum and rib cage. ... Robot-assisted CABG. ... Hybrid procedure.

What is the difference between bypass and open-heart surgery?

The bypass machine is necessary to pump blood while the heart is stopped. While the traditional "open heart" procedure is still commonly done and often preferred in many situations, less invasive techniques have been developed to bypass blocked coronary arteries.

When is CABG indicated?

CABG is generally recommended when there are high-grade blockages in any of the major coronary arteries and/or percutaneous coronary intervention (PCI) has failed to clear the blockages. Class 1 recommendations from the 2011 ACCF/AHA guidelines are as follows[2]: Left main disease greater than 50%

Abstract

Background

  • Sternal wound infection (SWI) following coronary artery bypass grafting (CABG) is a challenging complication of the median sternotomy surgical approach. A comprehensive definition of SWI is described by El Oakley and Wright.1 They describe mediastinal wound infection as “clinical or microbiological evidence of infected presternal tissue and sternal...
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Methods

  • Study Population
    This study examined a retrospective cohort of all Alberta patients undergoing CABG between April 1, 2002, and November 30, 2009. Cardiac procedures are performed at two regional cardiac centers in the province.
  • Data Acquisition
    Demographic and clinical data on all patients undergoing procedures are gathered and managed by a provincial database research group called APPROACH (Alberta Provincial Project for Outcome Assessment in Coronary Heart Disease).18 In addition, hospital discharge abstracts fo…
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Definition of Sternal Wound Infection

  • In 2002, our healthcare system transitioned from ICD-9 coding to ICD-10 coding for diagnostic coding of diseases. A committee of cardiac care researchers, internal medicine physicians, plastic surgeons, and cardiac surgeons met to identify which ICD-10 codes best described SWI following CABG. Using previous work with ICD-9 coding as a guide, the committee translated the codes fel…
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Results

  • A total of 8,704 patients in Alberta underwent CABG. Of these patients, 6,258 (71.9 percent) had hospital discharge data up to one year following CABG. A total of 2,820 patients (45.1 percent) were from the regional site selected for chart review, and of those, 264 (9.4 percent) were coded as having a postoperative SWI. Using random sampling without replacement, 100 patient charts …
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Discussion

  • As described in the methods section, the ICD-10 codes in this study were selected on the basis of a committee discussion of cardiovascular researchers, plastic surgeons, and cardiac surgeons. Two lists of codes were created. One list (not shown) was an “all-inclusive” list of more than 20 ICD-10 codes that could possibly describe SWI, similar to that described by Huang et al.30 The o…
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Acknowledgments

  • This study was funded through the University of Calgary Surgical Research Development Fund. APPROACH (Alberta Provincial Project for Outcome Assessment in Coronary Heart Disease) was initially funded with a grant from the W. Garfield Weston Foundation. Ongoing operation is funded by the Provincewide Services Committee of Alberta Health and Wellness and the following indus…
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