In honor of American Heart Month, this month’s Code Cracker explores the guidelines for coding heart procedures. There are a few specific guidelines associated with procedures done on the coronary arteries in ICD-10-PCS which need to be reviewed.
Cardiac Arrhythmias (Other) (ICD-9-CM 427.41, 427.42, 427.60, 427.61, 427.69, 427.81, 427.89, 427.9) I49.01 I49.02 I49.1 I49.2 I49.3 I49.40 I49.49 I49.5 I49.8 I49.9*
Heart Failure (ICD-9-CM 428.0, 428.1, 428.20 to 428.23 Range, 428.30 TO 428.33 Range, 428.40 TO 428.43 Range, 428.9) *Codes with a greater degree of specificity should be considered first. I10 Essential (primary) hypertension Hypertension (ICD-9-CM 401.9) 6 Aortic Valve Disorders (ICD-9-CM 424.1)
Abnormalities of heart beat R00- >. ICD-10-CM Diagnosis Code P29.1 A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under...
Obesity screening and counseling 01 (ICD-10- CM). The suggested coding for counseling for a healthy diet includes 99401-99404, 99411-99412, 99078, 97802-97804, G0447, S9452, S9470 as preventive with Z71. 3 (ICD-10-CM).
Dietary counseling and surveillanceICD-10 code Z71. 3 for Dietary counseling and surveillance is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-9-CM Diagnosis Code 150.9 : Malignant neoplasm of esophagus, unspecified site.
ICD-10 code: I25. 10 Atherosclerotic heart disease: Without hemodynamically significant stenosis.
E66. 01 is morbid (severe) obesity from excess calories. E66. 9 is unspecified obesity.
HCPCS code S9470 for Nutritional counseling, dietitian visit as maintained by CMS falls under Miscellaneous Supplies and Services .
I50. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I50. 9 became effective on October 1, 2021.
ICD-10 code I50. 42 for Chronic combined systolic (congestive) and diastolic (congestive) heart failure is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
ICD-10 code R06. 00 for Dyspnea, unspecified is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
R00. 2 Palpitations - ICD-10-CM Diagnosis Codes.
ICD-10 Code for Atherosclerosis of coronary artery bypass graft(s) without angina pectoris- I25. 810- Codify by AAPC.
I25. 810 - Atherosclerosis of coronary artery bypass graft(s) without angina pectoris | ICD-10-CM.
66-year-old with severe CAD is admitted for CABG x 3 using the left internal mammary artery (LIMA) to the left anterior descending (LAD), radial artery free graft from aorta to diagonal branch, and saphenous vein graft (SVG) from the aorta to the right coronary artery (RCA).
Patient with CAD is admitted for PTCA and stenting of 3 coronary arteries. Drug-eluting stents were placed in the RCA x 2 and LAD.
For hierarchical condition categories (HCC) used in Medicare Advantage Risk Adjustment plans, certain diagnosis codes are used as to determine severity of illness, risk, and resource utilization. HCC impacts are often overlooked in the ICD-9-CM to ICD-10-CM conversion. The physician should examine the patient each year and compliantly document the status of all chronic and acute conditions. HCC codes are payment multipliers.
Note: There is nothing in the documentation that says that there was an error in the prescription for Coumadin or that the patient took it incorrectly. If the prescription was correctly prescribed and correctly administered/taken then it would be an adverse effect.