10º Congresso da AMACC

Emanuel Dias, Assistente Hospitalar de Cirurgia Vascular, FEBVS

Status Bypass periférico: Z95.828

Status Angioplastia periférica:◦ Com stent Z95.820

◦ Sem stent Z98.62

Uso de anticoagulantes: Z79.01

Uso de antiplaquetários: Z79.02

Uso da aspirina: Z79.82

História pessoal de tromboembolismopulmonar: Z86.711

História pessoal de trombose venosa: Z86.718

História pessoal de tromboflebite: Z86.72

◦ Z89.4 Acquired absence of toe(s), foot, and ankle

Z89.41 Acquired absence of great toe

Z89.411 Acquired absence of right great toe

Z89.412 Acquired absence of left great toe

Z89.419 Acquired absence of unspecified great toe

Z89.42 Acquired absence of other toe(s)

Z89.421 Acquired absence of other right toe(s)

Z89.422 Acquired absence of other left toe(s)

Z89.429 …… unspecified side

Z89.43 Acquired absence of foot

Z89.431 Acquired absence of right foot

Z89.432 Acquired absence of left foot

Z89.439 Acquired absence of unspecified foot

Z89.44 Acquired absence of ankle

Z89.441 Acquired absence of right ankle

Z89.442 Acquired absence of left ankle

Z89.449 Acquired absence of unspecified ankle

◦ Z89.5 Acquired absence of leg below knee

Z89.51 Acquired absence of leg below knee

Z89.511 Acquired absence of right leg below knee

Z89.512 Acquired absence of left leg below knee

Z89.519 Acquired absence of unspecified leg below knee

Z89.52 Acquired absence of knee

Z89.521 Acquired absence of right knee

Z89.522 Acquired absence of left knee

Z89.529 Acquired absence of unspecified knee

◦ Z89.6 Acquired absence of leg above knee

Z89.61 Acquired absence of leg above knee

Z89.611 Acquired absence of right leg above knee

Z89.612 Acquired absence of left leg above knee

Z89.619 Acquired absence of unspecified leg above knee

Z89.62 Acquired absence of hip

Z89.621 Acquired absence of right hip joint

Z89.622 Acquired absence of left hip joint

Z89.629 Acquired absence of unspecified hip joint

◦ Z89.9 Acquired absence of limb, unspecified

Dependência de cadeira de rodas: Z99.3

Status acamado: Z74.01

Confinamento a cadeira:Z74.09

Ecodoppler venoso

- Membros superiores: B54PZZZ

- Membros inferiores: B54DZZZ

Ecodoppler arterial

- Membros superiores: B34KZZZ

- Membros inferiores: B44HZZZ

Ecodopplercarotídeo: B348ZZZ

Arteriografia: B41- Flebografia: B51-

Endarterectomia carotídea: 03CK0ZZSuplemento Patch sintético: 03UK0JZ

1 stent carotídeo percutâneo: 037K3DZ

TEVAR (Thoracic Endovascular AorticRepair): ◦ 02VW3DZ (Restriction)

EVAR: Endovascular aortic repairpercutâneo aorto bi-iliaco: 04V03D6

Interposição de prótese aorto-aórtica via aberta: 04R00JZ

Tromboembolectomiaartéria umeral: 03C70ZZ

Tromboembolectomia da aorta abdominal: 04C00ZZ

Tromboembolectomiafemoral direita: 04CK0ZZ

I70.21- Atherosclerosis of native arteries of extremities with intermittent claudication

I70.22- Atherosclerosis of native arteries of extremities with rest pain

I70.23- Atherosclerosis of native arteries of right leg with ulceration

I70.26- Atherosclerosis of native arteries of extremities with gangrene

I70.3-- Atherosclerosis of unspecified type of bypass graft(s) of the extremities

Bypass aorto bifemoral: 04100JK

Bypass femoro-politeo infra genicular com veia safena invertida à direita:- Colheita de veia safena: 06BP0ZZ- Bypass: 041K09L

Estenose de Stent periférico: T82.856A

Trombose de Bypass periférico: T82.868A

B40F1ZZ Plain Radiography of Right Lower Extremity Arteries using Low OsmolarContrast

047K3ZZ Dilation of Right Femoral Artery, Percutaneous Approach

Trombectomia de bypass axilobifemoral:

03C50Z6 Extirpation of Matter from Right Axillary Artery, Bifurcation, Open Approach

04CK0ZZ Extirpation of Matter from Right Femoral Artery, Open Approach04CL0ZZ Extirpation of Matter from Left Femoral Artery, Open Approach

Trombose de bypass periférico: T82.868A

Colocação de prótese endovascular: 04VM3DZ

Tratamento cirúrgico via aberta: 04RM07Z

A tabela Excision dos Body Systems AnatomicalRegions, [Upper | Lower] Extremities, não tem Body Parts para a pele, as fáscias, os músculos, o osso… mas regiões como a coxa, a perna, o pé… exatamente aquilo que se deve codificar num procedimento de desbridamento dum coto de amputação

Uma reamputação deve codificar-se como uma nova amputação no nível indicado. Os QualifiersHigh, Mid e Low permitirão refletir o novo nível de amputação

Presença de FAV no MSD◦ Presence (of) arterial-venous shunt (dialysis) Z99.2

Z99.2 Dependence on renal dialysis◦ Hemodialysis status◦ Peritoneal dialysis status◦ Presence of arteriovenous shunt for dialysis◦ Renal dialysis status NOS ◦ Excludes1:

encounter for fitting and adjustment of dialysis catheter (Z49.0-)

◦ Excludes2: non compliance with renal dialysis (Z91.15)

03180JD Bypass Left Brachial Artery to Upper Arm Vein with Synthetic Substitute, Open Approach

Hemorragia de FAV: T82.530A

Trombose de FAV: T82.868A◦ Trombectomia de

FAV: extirpação de material da veia 05C-

Síndrome de Roubo: T82.898A

Hemorragia de Shunt: T82.531A

Trombose de Shunt: T82.868A◦ Trombectomia de

shunt: extirpação de material da artéria e veia 03C-, 05C-

◦ Reparo de shunt: 05WY0JZ

Codificar Repair da artéria + Repair da veia

Desmontagem de fístula bráquio-cefálica no MSE:◦ 03Q80ZZ Repair Left Brachial Artery, Open Approach

◦ 05QF0ZZ Repair Left Cephalic Vein, Open Approach

I83 Varicose veins of lower extremities

I83.0- … with ulcer

I83.1- … with inflammation

I83.2- … with both ulcer and inflammation

I83.8- … with other complications

I83.9- Asymptomatic varicose veins of lower extremities

I83.011 … with ulcer of thigh

I83.012 … with ulcer of calf

I83.013 … with ulcer of ankle

I83.014 … with ulcer of heel and midfoot … with ulcer of plantar surface of midfoot

I83.015 … with ulcer other part of foot … with ulcer of toe

I83.018 … with ulcer other part of lower leg

I83.019 … with ulcer of unspecified site

Exérese de varizes, Flebectomias - Excision: 06B-

Stripping - Extraction: 06D-

Laqueação - Occlusion: 06L-

Injeção de substância esclerosante - Introduction, destructive agent: 3E0- (3E033TZ) (cola de varizes?)

Tratamento por radiofrequência: Destruction: 065-(acho que o mais apropriado seria oclusion 06L-)

06BP3ZZ Excision of Right Saphenous Vein, Percutaneous Approach

06BY3ZZ Excision of Lower Vein, Percutaneous Approach

06LY3ZZ Occlusion of Lower Vein, Percutaneous Approach

3E030TZ Introduction of Destructive Agent into Peripheral Vein, Open Approach

065P3ZZ Destruction of Right Saphenous Vein, Percutaneous Approach

065Q3ZZ Destruction of Left Saphenous Vein, Percutaneous Approach