Question

A 72-year-old black male was admitted to the hospital with four-vessel CAD. A diagnostic, left heart catheterization was done and it was determined that the patient needed an immediate bypass procedure. An open, aortocoronary bypass was done of the four vessels with heavy disease utilizing a right leg saphenous vein graft that was harvested percutaneously. The patient's pre-existing diabetes and hypertension were monitored and treated with Metformin and Lisinopril respectively. Discharged to home six days after surgery in good condition.

MS-DRG assigned 236 Admit diagnosis 125.10 Principal diagnosis 125.10 Secondary diagnosis Ell.9 110 Procedure performed 021309W, 06BP3ZZ

Answer 1

MS-DRG assigned 236 :Coronary bypass withou cardiac catheterization without MCC

Admit diagnosis I25.10:Atherosclerotic heart disease

Principal diagnosis 125.10:Atherosclerotic heart disease (without angina )

Secondary diagnosis Ell.9 110:Tuoe 2 Diabetes without complications

Procedure code

021309W:Bypass coronary artery with four or more artery from sort with autologous venous tissue ,open approach method

06BP3ZZ:Excision of right saphenous vein,percutaneous