The patient had an embolic cerebrovascular accident and was documented by the surgeon as being a postoperative complication. The patient initially had been admitted for treatment of coronary artery arteriosclerosis with CABG. The patient is taken to the OR for an open three-vessel aorta to coronary artery using greater saphenous vein. The left greater saphenous vein was harvested via percutaneous endoscopic approach. Cardiopulmonary bypass is performed during the surgery.

Question

Quizplus · Accepted Answer

The patient has three diagnoses - coronary artery arteriosclerosis (I25.10), embolic cerebrovascular accident (I63.40), and postoperative complication (I97.820). The reason for the surgery is the treatment of coronary artery arteriosclerosis with CABG. The surgical approach involved an open three-vessel aorta to coronary artery using greater saphenous vein, and the left greater saphenous vein was harvested via percutaneous endoscopic approach. Cardiopulmonary bypass was performed during the surgery. Therefore, the correct ICD-10-CM code combination for this scenario is I25.10, I97.820, I63.40, Y83.2, 021209W, 06BQ4ZZ, 5A1221Z.

The Patient Had an Embolic Cerebrovascular Accident and Was Documented