Clinical classification codes

Coding recommendations

One of the following OPCS-4 codes is used to classify the coronary artery bypass grafting with a saphenous vein graft, depending on the number of arteries replaced:

K40.1 Saphenous vein graft replacement of one coronary artery
K40.2 Saphenous vein graft replacement of two coronary arteries
K40.3 Saphenous vein graft replacement of three coronary arteries
K40.4 Saphenous vein graft replacement of four or more coronary arteries
K40.8 Other specified saphenous vein graft replacement of coronary artery

K40.9 Unspecified saphenous vein graft replacement of coronary artery The endoscopic harvest of the saphenous vein is not coded in addition as this is implicit in the saphenous vein graft replacement code. 


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