Cardiac pacemaker or defibrillator, has one: Difference between revisions

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Question about VAD how to cod if patient HAS one
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== Additional Info ==
== Additional Info ==
'''Excludes:''' [[Heart assist device, has one]]


== Alternate ICD10s to consider coding instead or in addition ==
== Alternate ICD10s to consider coding instead or in addition ==

Revision as of 15:08, 25 February 2019

ICD10 Diagnosis
Dx: Cardiac pacemaker or defibrillator, has one
ICD10 code: Z95.0
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

This diagnosis is a part of ICD10 collection.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • Z95.0
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  • SMW
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Additional Info

Excludes: Heart assist device, has one

Alternate ICD10s to consider coding instead or in addition

Arrhythmia codes:

When a patient is admitted that has a pre-existing LVAD and has had it for months to years, do you capture this in the database somehow? There is no comorbid entry for VAD, “has one” , like it does for other things like permanent pacer or ICD. If the diagnosis is related to the VAD itself (like a mechanical failure), we can use iatrogenic mechanical failure. If the diagnosis is something else, do you care if the pt has a VAD? We cannot put it in CCI because it is out of our time frame. Just checking as this has come up a few times before and we always struggle with how to code the pre-existing “permanent” VAD patient. -- Laura Kolesar - Feb 7.19

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Candidate Combined ICD10 codes

Related CCI Codes

If added during this stay you may be able to add one of the following:

Related Articles

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