Cardiac pacemaker or defibrillator, adjustment/management

ICD10 Diagnosis
Dx:	Cardiac pacemaker or defibrillator, adjustment/management
ICD10 code:	Z45.0
Pre-ICD10 counterpart:	Permanent Pacemaker Failure, Permanent Pacemaker Insertion, Defibrillator Implant, Temporary Pacemaker Insertion, Intracardiac Defibrillator (ICD) Failure
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
Data Dependencies(Reports/Indicators/Data Elements):	No results
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

• SMW
  • 2019-01-01
  • 2999-12-31
  • Z45.0

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Additional Info

Alternate ICD10s to consider coding instead or in addition

• Cardiac pacemaker or defibrillator, has one
• Iatrogenic, mechanical complication/dysfunction, cardiac electronic device

Candidate Combined ICD10 codes

Related CCI Codes

• (T) Cardiac Conduction System
• Implantation of Internal Device

Questions

For consistency, should this code not be a CCI instead of an ICD10? I can see where Cardiac pacemaker or defibrillator, has one would be ICD10, but adjustment seems like a procedure. Ttenbergen 00:17, 2018 October 30 (CDT) AG --- I completely agree with you, but weirdly, there IS NO CCI CODE for adjustment of a pacer or defibrillator. I looked and looked. They must have just missed it. So our choices are: (a) leave it as it, (b) remove this ICD10 code [which won't be so bad, because this is a pretty minor procedure anyway], or (c) keep it but include it "as if" it were a CCI picklist item, i.e. it shows up like that to the collectors, though it goes into the right place as an ICD10 code. TINA and TRISH -- what do you think? option (c) would require a bunch of special purpose coding, more than I think it would provide value. Will email Trish and Julie with link to get their thoughts. If we can't resolve it this way it will go to task, I already tagged it for that. I prefer option (a) + making sure that the wiki pages are as well cross-linked as possible, noting this weird special case. I prefer option (a) - Besides the CCI counterpart did not mention adjustment/management but only insertion. --JMojica 10:55, 2018 December 20 (CST) leave it (a).Trish Ostryzniuk 17:44, 2018 December 21 (CST)

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ICD10 Codes:

• Cardiac pacemaker or defibrillator, adjustment/management
• Cardiac pacemaker or defibrillator, has one

CCI Code:

• CCI Picklist:
  • Defibrillator, insertion
  • Pacemaker insertion, permanent
  • Pacemaker insertion, temporary

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ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus Deep Tissue Damage, Decubitus Stage 1, Decubitus Stage 2, Decubitus Stage 3, Decubitus Stage 4, Decubitus Stage Not Indicated, Decubitus Stage not indicated, Decubitus heel, Decubitus other area, Decubitus sacral area, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Electrolyte disturbance, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection... further results