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

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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)
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?  
*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.  }}
** 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)
  }}


ICD10 Codes:  
ICD10 Codes:  

Revision as of 11:55, 2018 December 20

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
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Additional Info

Alternate ICD10s to consider coding instead or in addition

Arrhythmia codes:

Candidate Combined ICD10 codes

Related CCI Codes

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)
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ICD10 Codes:

CCI Code:

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