From the Guidelines
The ICD-10 procedure code for a right popliteal artery to dorsal pedal artery bypass using a CryoVein is 041K0ZL. This code specifically represents a bypass from the right popliteal artery to the right anterior tibial artery (which includes the dorsal pedal artery as its continuation) using a nonautologous tissue substitute. The CryoVein is classified as a nonautologous tissue substitute since it is a cryopreserved human allograft vein. This procedure is typically performed to restore blood flow to the foot when there is significant arterial occlusive disease affecting the lower extremity arteries, as supported by the 2024 ACC/AHA/AACVPR/APMA/ABC/SCAI/SVM/SVN/SVS/SIR/VESS guideline for the management of lower extremity peripheral artery disease 1. The bypass creates an alternative pathway for blood to flow around the blocked segments, improving circulation to the foot and potentially preventing complications such as tissue loss or amputation. Key considerations for coding include:
- The use of the 7th character for laterality, where right is always 1, left is always 2, and bilateral is always 3, as outlined in the ICD-10 CM guidelines 1.
- The selection of the appropriate body part and destination site, in this case, the right popliteal artery and the anterior tibial artery, respectively.
- The choice of the nonautologous tissue substitute, which is represented by the character "Z" in the ICD-10-PCS code. This procedure would be documented in the Medical and Surgical section (0) of ICD-10-PCS, specifically within the Lower Arteries body system (4), using the Bypass root operation (1), with the right popliteal artery as the body part (K), open approach (0), nonautologous tissue substitute (Z), and anterior tibial artery as the destination site (L).
From the Research
ICD10 Code for Right Popliteal Artery to Dorsal Pedal Artery Bypass
- The ICD10 code for a right popliteal artery to dorsal pedal (DP) artery bypass using a CryoVein is not directly stated in the provided studies 2, 3, 4, 5, 6.
- However, the studies discuss various aspects of popliteal artery bypass and revascularization procedures, including the use of different graft materials and techniques 2, 5, 6.
- For example, a study on popliteal artery aneurysm repair discusses the use of endovascular treatment, great saphenous vein (GSV) bypass, and prosthetic bypass 5.
- Another study highlights the importance of bypass to the dorsalis pedis, tarsal, or plantar artery for limb salvage in diabetic patients 6.
- To determine the correct ICD10 code, it is recommended to consult the official ICD10 coding guidelines and resources, as the code may depend on specific details of the procedure, such as the type of graft used and the approach employed.
Relevant Procedures and Codes
- The provided studies do not specifically mention the ICD10 code for a right popliteal artery to dorsal pedal artery bypass using a CryoVein.
- However, some relevant codes for vascular bypass procedures may include:
- ICD10 code for bypass of popliteal artery to dorsal pedal artery (not specified in the studies)
- ICD10 code for use of CryoVein graft (not specified in the studies)
- It is essential to consult the official ICD10 coding guidelines and resources to determine the correct code for the specific procedure performed.