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Native vs Graft Diagnosis

Date: Feb 21, 2024

Question:

During diagnostic angiography of the coronary arteries and grafts for indication of angina, the IMA graft to the 2nd Diagonal branch is injected and visualized. A stenotic lesion is noted at the anastomosis of the IMA to the D2. Would this lesion be coded as atherosclerosis of the graft I25.729, or as native atherosclerosis I25.119?

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