Wiki Code Bleeding Complication

OPENSHAW

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I am trying to identify how bleeding complications that occur around the femoral artery access site near the groin during percutaneous procedures are coded. To provide some background, these complications occur when the back wall of the femoral artery is punctured when the physician is trying to get access to the vessel, resulting in bleeding. While the bleeding begins after the initial puncture, the bleed may not be noticed until the end of the procedure or the next day.

Specifically trying to identify these complications during the following interventional cardiology procedures: transcatheter aortic valve replacement, endovascular aneurysm repair, percutaneous VADs (Impella), balloon pump, and PCIs. Please let me know if any further clarification is necessary.

I would like to know what codes, especially ICD-9/10 diagnosis/procedure codes and any CPT codes, are used to identify these complications during a patient's hospital stay (as well as any other codes).

THANK YOU!
 
Just throwing ideas out there, but for the first scenario look at 998.2 - Other complications of procedures, NEC; Accidental puncture or laceration during a procedure; Accidental perforation by catheter or other instrument during a procedure on: blood vessel, nerve, organ.

Is that some semblance of what occurred?
 
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