Cardiac pacemaker or defibrillator, adjustment/management: Difference between revisions
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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. <!-- 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? | 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. | ** 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) | ** 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) | * leave it (a).[[User:TOstryzniuk|Trish Ostryzniuk]] 17:44, 2018 December 21 (CST) | ||
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== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == |
Revision as of 14:09, 2019 September 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.
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
- Cardiac pacemaker or defibrillator, adjustment/management
- Cardiac pacemaker or defibrillator, has one
- Iatrogenic, mechanical complication/dysfunction, cardiac electronic device
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
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