Cardiac pacemaker or defibrillator, adjustment/management: Difference between revisions

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m (Text replacement - "Therapeutic Intervention on *" to "$1 (T)")
m (Text replacement - "InitialEditorAssigned = Trish Ostryzniuk" to "InitialEditorAssigned = ")
 
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{{ICD10 transition status
{{ICD10 transition status
| OldDxArticle =Defibrillator Implant,Intracardiac Defibrillator (ICD) Failure, Permanent Pacemaker Failure, Permanent Pacemaker Insertion, Temporary Pacemaker Insertion
| OldDxArticle =Defibrillator Implant;Intracardiac Defibrillator (ICD) Failure; Permanent Pacemaker Failure; Permanent Pacemaker Insertion; Temporary Pacemaker Insertion
| CurrentStatus = reconciled  
| CurrentStatus = reconciled  
| InitialEditorAssigned = Trish Ostryzniuk
| InitialEditorAssigned =  
}}
}}
{{ICD10 dx
{{ICD10 dx
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== Additional Info ==
== Additional Info ==
While this seems like the kind of thing that should be coded in [[CCI]] instead, there is no CCI code for this, so it is coded here.
*this code is '''not intended for use with temporary''' pacemaker changes via A-V wires or transvenous wire; it is intended for use with those patients who have the pacemaker/ICD comorbid ie a '''permanent''' pacemaker/ICD
<!-- AG 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. --[[User:JMojica|JMojica]] 10:55, 2018 December 20 (CST)
* leave it (a).[[User:TOstryzniuk|Trish Ostryzniuk]] 17:44, 2018 December 21 (CST)
-->


== Alternate ICD10s to consider coding instead or in addition ==
== Alternate ICD10s to consider coding instead or in addition ==
*[[Cardiac pacemaker or defibrillator, has one]]
* [[Cardiac pacemaker or defibrillator, adjustment/management]]
*[[Iatrogenic, mechanical complication/dysfunction, cardiac electronic device]]
* [[Cardiac pacemaker or defibrillator, has one]]
* [[Iatrogenic, mechanical complication/dysfunction, cardiac electronic device]]
{{ListICD10Category | categoryName = Arrhythmia}}
{{ListICD10Category | categoryName = Arrhythmia}}


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== Related CCI Codes ==
== Related CCI Codes ==
{{CCI}} Need to update when we have the new codes on wiki.
If added during this stay you may be able to add one of the following:
*[[ (T) Cardiac Conduction System]]
* [[Defibrillator, insertion]]
*[[Implantation of Internal Device]]
* [[Pacemaker insertion, permanent]]
 
* [[Pacemaker insertion, temporary]]
== Questions ==
=== temporary vs permanent ===
{{Discussion}}
*Temporary or permanent pacemaker inserted -  it appears there is a code to differentiate a temporary from permanent pacemaker in ICD10, nor if it is a new insertion.  Is this correct?  Just general in this DX group? See CCI below.  [[User:TOstryzniuk|Trish Ostryzniuk]] 17:21, 2018 January 9 (CST)
 
=== Pacemaker vs Implantable cardioverter-defibrillator (ICD) ===
{{discussion}}{{ICD10}}
 
ICD10 Codes:
* [[Cardiac pacemaker or defibrillator, adjustment/management]]  
* [[Cardiac pacemaker or defibrillator, has one]]
 
CCI Code: {{discussion}} need to see when we have the details
* Combined code
** [[ (T) Cardiac Conduction System]]
** [[Implantation of Internal Device]]
 
None of this differentiates between pacemaker and defibrillator.
 
{{discussion}}
* Do we need the data to show the difference, ie do we care?


== Related Articles ==
== Related Articles ==

Latest revision as of 19:39, 2023 April 5

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:
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

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


  • Categories
  • SMW
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories

Additional Info

While this seems like the kind of thing that should be coded in CCI instead, there is no CCI code for this, so it is coded here.

  • this code is not intended for use with temporary pacemaker changes via A-V wires or transvenous wire; it is intended for use with those patients who have the pacemaker/ICD comorbid ie a permanent pacemaker/ICD


Alternate ICD10s to consider coding instead or in addition

Arrhythmia codes:

Candidate Combined ICD10 codes

Related CCI Codes

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

Related Articles

Related articles:


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