Encounter for aftercare following heart transplant. Z48.21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM Z48.21 became effective on October 1, 2019. This is the American ICD-10-CM version of Z48.21 - other international versions of ICD-10 Z48.21 may differ.
Z48.81 ICD-10-CM Diagnosis Code Z48.81. Encounter for surgical aftercare following surgery on specified body systems 2016 2017 2018 2019 Non-Billable/Non-Specific Code. Applicable To These codes identify the body system requiring aftercare.
Postprocedural cardiac insufficiency following cardiac surgery Postproc cardiac insufficiency following cardiac surgery; Cardiac insufficiency following cardiac surgery; Cardiac insufficiency post cardiac surgery ICD-10-CM Diagnosis Code I97.120 [convert to ICD-9-CM] Postprocedural cardiac arrest following cardiac surgery
Encounter for surgical aftercare following surgery on the circulatory system. The 2018/2019 edition of ICD-10-CM Z48.812 became effective on October 1, 2018. This is the American ICD-10-CM version of Z48.812 - other international versions of ICD-10 Z48.812 may differ.
Aftercare codes are found in categories Z42-Z49 and Z51. Aftercare is one of the 16 types of Z-codes covered in the 2012 ICD-10-CM Official Guidelines and Reporting.
Z48. 812 Encntr for surgical aftcr following surgery on the circ sys - ICD-10-CM Diagnosis Codes.
ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
Z48. 812 - Encounter for surgical aftercare following surgery on the circulatory system. ICD-10-CM.
Intraoperative cardiac arrest during cardiac surgery I97. 710 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 I97. 710 became effective on October 1, 2021.
I25. 810 - Atherosclerosis of coronary artery bypass graft(s) without angina pectoris | ICD-10-CM.
99024 - Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedure.
Use Z codes to code for surgical aftercare. Z47. 89, Encounter for other orthopedic aftercare, and. Z47.
Follow-up. The difference between aftercare and follow-up is the type of care the physician renders. Aftercare implies the physician is providing related treatment for the patient after a surgery or procedure. Follow-up, on the other hand, is surveillance of the patient to make sure all is going well.
Coronary artery bypass grafting (CABG) is a type of surgery called revascularization, used to improve blood flow to the heart in people with severe coronary artery disease (CAD). CABG is one treatment for CAD.
When a patient has a history of cerebrovascular disease without any sequelae or late effects, ICD-10 code Z86. 73 should be assigned.
A coronary artery bypass graft (CABG) is a surgical procedure used to treat coronary heart disease. It diverts blood around narrowed or clogged parts of the major arteries to improve blood flow and oxygen supply to the heart.
Encounter for aftercare following heart transplant 1 Z48.21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM Z48.21 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z48.21 - other international versions of ICD-10 Z48.21 may differ.
The 2022 edition of ICD-10-CM Z48.21 became effective on October 1, 2021.
Categories Z40-Z53 are intended for use to indicate a reason for care. They may be used for patients who have already been treated for a disease or injury, but who are receiving aftercare or prophylactic care, or care to consolidate the treatment, or to deal with a residual state. Type 2 Excludes.
Aftercare codes are found in categories Z42-Z49 and Z51. Aftercare is one of the 16 types of Z-codes covered in the 2012 ICD-10-CM Official Guidelines and Reporting. Aftercare visit codes cover situations occurring when the initial treatment of a disease has been performed and the patient requires continued care during the healing or recovery phase, or care for the long-term consequences of the disease.
When the reason for an encounter is aftercare following a procedure or injury, the 2012 ICD-10-CM Official Guidelines and Reporting should be consulted to ensure that the correct code is assigned. Codes for reporting most types of aftercare are found in Chapter 21. However, aftercare related to injuries is reported with codes from Chapter 19, using seventh-character extensions to identify the service as aftercare.
Aftercare following explantation of a joint prosthesis is reported with a code from category Z47, denoting orthopedic aftercare. Aftercare following explantation of a joint prosthesis (Z47.3-) may be reported for a staged procedure or an encounter for evaluation of planned insertion of a new joint prosthesis following prior explantation of a joint prosthesis. In ICD-10-CM, aftercare for explantation of a joint prosthesis is specific to site.
Aftercare for injuries is reported with a V-code in ICD-9-CM. However, aftercare of injuries in ICD-10-CM is captured with the seventh character “D,” specifically denoting routine care following most injuries. For fractures, additional seventh characters for subsequent encounters apply, depending on whether the fracture is open or closed and whether the healing is routine or delayed, with nonunion or malunion.
The codes for factors influencing health and contact with health services represent reasons for encounters. In ICD-10-CM, these codes are located in Chapter 21 and have the initial alpha character of “Z,” so codes in this chapter eventually may be referred to as “Z-codes” (just as the same supplementary codes in ICD-9-CM were referred to as “V-codes”). While code descriptions in Chapter 21, such as aftercare, may appear to denote descriptions of services or procedures, they are not procedure codes. These codes represent the reason for the encounter, service or visit, and the procedure must be reported with the appropriate procedure code.
Codes for encounters for antineoplastic radiation, chemotherapy and immunotherapy (Z51.0, Z51.1-) are assigned if the sole reason for the encounter is antineoplastic therapy – even if the patient still has the neoplastic disease.
Aftercare codes should be used in conjunction with other aftercare codes, diagnosis codes and/or other categories of Z-codes to provide better detail on the specifics of the aftercare encounter/visit, unless otherwise directed by the classification.
Aftercare and Follow-up: ICD-10 Coding 1 The aftercare Z code should not be used if treatment is directed at a current, acute disease. 2 The aftercare Z codes should also not be used for aftercare for injuries.
The aftercare Z code should not be used if treatment is directed at a current, acute disease.
B3.6a: Bypass procedures are coded by identifying the body part bypassed “from” and the body part bypassed “to.” The fourth character body part specifies the body part bypassed from, and the qualifier specifies the body part bypassed to.
The classic first step in coding is to read the guidelines, but in the case of many ICD-10-PCS guidelines, starting there may prove to be confusing and frustrating. I’ve always been a big fan of learning the “why” behind the “what,” and when it comes to coding and coding guidelines, I like to identify the method behind the madness. The madness I’d like to address in this article relates to ICD-10-PCS coding guidelines for arterial bypass procedures.
Rationale: Two of the arteries were bypassed using a saphenous vein graft from the aorta. The other artery was bypassed using a pedicle LIMA graft. Since two of the arteries had a different device and qualifier than the other, two codes are necessary when we apply coding guideline B3.6c.
I mentioned two main types of CABG: aortocoronary and mammary graft. In an aortocoronary bypass, a connection is made from the aorta to the coronary artery using a free graft. That free graft can be made of arterial or venous tissue obtained from the patient (autologous), cadaver tissue (nonautologous), animal tissue (zooplastic), or synthetic material. The most common type of free graft comes from the saphenous vein from the patient’s leg. Pedicled grafts may also be used, where an artery is detached from its distal point and rerouted to the coronary arteries. This is most commonly achieved using the internal mammary arteries. It is not uncommon for a single operative session to include bypass of multiple coronary arteries using multiple devices.
B3.6b: Coronary artery bypass procedures are coded differently than other bypass procedures as described in the previous guideline. Rather than identifying the body part bypassed from, the body part identifies the number of coronary arteries bypassed to, and the qualifier specifies the vessel bypassed from.
The ICD-10-PCS definition of the root operation Bypass is “altering the route of passage of the contents of a tubular body part.” In the case of the arterial system, the tubes are the arteries of the heart, as well as noncoronary circulation. The term “bypass” isn’t unique to the medical profession. We talk about bypasses in traffic or figurative bypasses at work when we develop “workarounds” to circumvent a problem. An arterial bypass is no different: there is a blockage we need to get around, and to do that, we must make a new pathway.
So, let’s briefly talk about anatomy and blood flow. The center of the circulatory system is the heart. Blood leaves the left side of the heart through the main artery, the aorta, which connects to other arteries. The arterial mission is simple: deliver oxygen-rich blood to the body’s organ and tissues.
Z48.21 is a valid billable ICD-10 diagnosis code for Encounter for aftercare following heart transplant . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .
Z48.21 is exempt from POA reporting ( Present On Admission).
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically. See also: Aftercare Z51.89 see also Care.