Angioplasty: Difference between revisions

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there was no Dx article for this, so making sure the code is referenced somewhere; this seemed to be the right place.
m Text replacement - "Diagnostic Procedure (old)" to "Diagnostic Procedure"
 
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{{DX tag | Cardio-Vasc OR | | Angioplasty |  
{{DX tag | Cardio-Vasc OR | Diagnostic Procedure | Angioplasty |  
* 76400 - ANGIOPLASTY (PTCA)
* 76400 - ANGIOPLASTY (PTCA)
* 76401 - Failed (dissect./rupture fem art) | Yes | No | 0 |  |  |  | }}
* 76401 - Failed (dissect./rupture fem art) | Yes | No | 0 |  |  |  | }}


ICU coding tips for '''angioplasty'''
== Labs ==
For any critical care pt where you code an angio dx, also code angio in [[Lab Collection Process|Labs]] '''only if procedure done outside of ICU'''.


===Community hospital (Oaks, Grace, Con, Vic) ===
== Pt admitted from cath lab ==
If you go with a patient to HSC or STB for an angio/plasty and the patient does not return to your site because he is admitted to one of these centers, please do '''not'' code angio as your acquired DX.
see [[Previous Location field]]
Only indicate angio in [[Labs]] and TISS item # 91 for procedure outside of ICU.


===HSC or STB===
== Pt travels to other site for angio ==
those patients that are admitted from the cath lab post angio or plasty should have in their admit from box where the patient came from '''prior''' to going to the cath lab and then being admitted to your unit.
=== Pt does not return ===
In their '''admitting DX''' codes, you should record the codes for angio/pasty/stent if applicable. 
If an ICU nurse goes with a patient to '''HSC or STB''' for an angio/plasty and the patient '''does not return''' to your site because he is admitted to one of these centers, please DO NOT code angio/plasty in your acquired DX slots. You only need to indicate angio in [[Lab Collection Process|Labs]] and TISS item # 91 for procedures outside of ICU.
On the TISS form, you will record item # 96 if he is admitted as a post plasty only.    Do not mark in item # 91 (procedure outside ICU) , your site did not have to go with patient for this procedure.
 
===Angio Coding Process===
sent out Oct 16.00 /update Nov 11.00
 
====Community Hospitals====
If an ICU nurse goes with a patient to '''HSC or STB''' for an angio/plasty and the patient does not return to your site because he is admitted to one of these centers, please DO NOT code angio/plasty in your acquired DX slots. You only need to indicate angio in [[Labs]] and TISS item # 91 for procedures outside of ICU.
 
If an ICU nurse goes with a patient to '''HSC or STB''' for an angio/plasty and the patient returns to your ICU, your acquired DX would have angio etc., indicate angio in [[Labs]] and TISS # 96 would be marked for a plasty.


=== Pt does return to unit ===
If an ICU nurse goes with a patient to '''HSC or STB''' for an angio/plasty and the patient '''does return''' to your ICU then code the angio as an acquired.
If a patients goes to another center for a procedure and returns to your ICU after being away for some time, you must check with that centers data collector if indeed the patient was admitted to the ICU prior to or after their procedure.
If a patients goes to another center for a procedure and returns to your ICU after being away for some time, you must check with that centers data collector if indeed the patient was admitted to the ICU prior to or after their procedure.


If the transport team picks up you patient for an angio item # 91 should not be marked on TISS.
== Failed Angio ==
 
Code 76401 - Failed (dissect./rupture fem art) for any failed angio, e.g. when pt comes back from an angioplasty and the doc states it has failed and was unsuccessful in opening the vessel. The code is not limited to the complications listed as examples.
====HSC or STB====
Those patients that are admitted from the cath lab from your hospital ward, or ER, then to your ICU post angio or plasty should have in their admit from box where the patient came from prior to going to the cath lab.
 
In the admitting DX code slot you should recorded the codes for angio/plasty/stent if applicable.
 
On the TISS form, you will record item # 96 if he is admitted as a post plasty only.
 
Indicate angio in [[Labs]].
 
DO NOT mark in item # 91 (procedure outside ICU), your ICU nurse did not have to go with the patient for this procedure.
 
== Discussion - Failed Angio==
*  Hi I have a question I am seeing more pts coming back from an angioplasty and the doc states it has failed and was unsuccessful in opening the vessel. Do I code it under 764-1 failed/dissection/rupture or does that just pertain to those complications? Thanks Shirley
** If the angioplasty failed, 764-1 captures this.--[[User:CMarks|CMarks]] 12:09, 21 December 2011 (CST)
** Once we go to the ICD 10 system we will likely not have this problem.  There are many diagnosis that we miss with the structure that we presently have.  We code failed angios in the same category as complications because there is no other option.  As far as I know there has never been a request for this type of data but I think if a cardiologist wanted to have statistics on this, the heart cath lab would likely have some data as they have a computerized system. --[[User:LKolesar|LKolesar]] 08:07, 2012 March 6 (CST)
 
 


[[Category:Diagnosis Coding]]
[[Category:Angiogram (old)]]

Latest revision as of 00:17, 31 December 2018

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:

Click Expand to show legacy content.

Labs

For any critical care pt where you code an angio dx, also code angio in Labs only if procedure done outside of ICU.

Pt admitted from cath lab

see Previous Location field

Pt travels to other site for angio

Pt does not return

If an ICU nurse goes with a patient to HSC or STB for an angio/plasty and the patient does not return to your site because he is admitted to one of these centers, please DO NOT code angio/plasty in your acquired DX slots. You only need to indicate angio in Labs and TISS item # 91 for procedures outside of ICU.

Pt does return to unit

If an ICU nurse goes with a patient to HSC or STB for an angio/plasty and the patient does return to your ICU then code the angio as an acquired. If a patients goes to another center for a procedure and returns to your ICU after being away for some time, you must check with that centers data collector if indeed the patient was admitted to the ICU prior to or after their procedure.

Failed Angio

Code 76401 - Failed (dissect./rupture fem art) for any failed angio, e.g. when pt comes back from an angioplasty and the doc states it has failed and was unsuccessful in opening the vessel. The code is not limited to the complications listed as examples.

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