cardiac arrest ( I46 .-) respiratory failure ( J96.-) heart failure due to hypertension with chronic kidney disease ( I13.-) cardiac arrest ( I46 .-) Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
Injury, unspecified, initial encounter 1 T14.90XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2020 edition of ICD-10-CM T14.90XA became effective on October 1, 2019. 3 This is the American ICD-10-CM version of T14.90XA - other international versions of ICD-10 T14.90XA may differ.
S26.11XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Contusion of heart without hemopericardium, init encntr.
Injury, unspecified, initial encounter. 2018 - New Code 2019 2020 Billable/Specific Code. T14.90XA 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 T14.90XA became effective on October 1, 2019.
The sudden cessation of cardiac activity so that the victim subject/patient becomes unresponsive, without normal breathing and no signs of circulation. Cardiac arrest may be reversed by cpr, and/or defibrillation, cardioversion or cardiac pacing.
Cessation of heart beat or myocardial contraction. If it is treated within a few minutes, heart arrest can be reversed in most cases to normal cardiac rhythm and effective circulation.
The cardiac arrest codes are found in I46. The options are I46.2, Cardiac arrest due to an underlying cardiac condition, I46.8, Cardiac arrest due to other underlying condition, and I46.9, Cardiac arrest, cause unspecified. I46.2 and I46.8 would be secondary diagnoses because if you establish the underlying cause, ...
There are approximately 350,000-400,000 cases of cardiac arrest arising outside of the hospital setting per year, and not all of these patients make it to the emergency department. The incidence in any given hospital on any given shift is somewhere between zero and what you see on TV medical shows.
The last facet of documenting the emergency department cardiac arrest is to be sure to take inventory of the resultant conditions. Did the patient fall and sustain fractures or lacerations? Were there fractured ribs from CPR? Are there sequelae such as coma or anoxic brain injury, respiratory failure or arrest, shock liver, acute kidney injury, etc.? Make precise, thorough, and exhaustive diagnoses with appropriate linkage.
If the patient dies during the admission, the cardiac arrest will not serve as a major complication or comorbidity (MCC).
This intellectual exercise reminded me of debates I had previously about whether you code cardiac arrest in the hospital if the patient is not successfully resuscitated. For that, I and Coding Clinic have a definitive answer. If a patient sustains cardiac arrest in the hospital and you attempt (or are successful at) resuscitation, you code it and the procedures performed. If the patient dies during the admission, the cardiac arrest will not serve as a major complication or comorbidity (MCC).
If there are residual issues or deficits, those could be definitive diagnoses. For instance, if the patient has anoxic brain damage and is in respiratory arrest and on a ventilator, those could be the captured diagnoses. However, I think leaving out the cardiac arrest would be leaving out a key part of the story.
On the other hand, you are doing the workup because it occurred. If a patient has a symptom that elicits a work up, but it has resolved by the time they are brought into the ED, you still can code it, such as with syncope or altered mental status.
Injury, unspecified, initial encounter 1 S00-T88#N#2021 ICD-10-CM Range S00-T88#N#Injury, poisoning and certain other consequences of external causes#N#Note#N#Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code#N#Type 1 Excludes#N#birth trauma ( P10-P15)#N#obstetric trauma ( O70 - O71)#N#Use Additional#N#code to identify any retained foreign body, if applicable ( Z18.-)#N#Injury, poisoning and certain other consequences of external causes 2 T14#N#ICD-10-CM Diagnosis Code T14#N#Injury of unspecified body region#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Type 1 Excludes#N#multiple unspecified injuries ( T07)#N#Injury of unspecified body region 3 T14.90#N#ICD-10-CM Diagnosis Code T14.90#N#Injury, unspecified#N#2016 2017 2018 - Converted to Parent Code 2019 2020 2021 Non-Billable/Non-Specific Code#N#Applicable To#N#Injury NOS#N#Injury, unspecified
The 2022 edition of ICD-10-CM T14.90XA became effective on October 1, 2021.
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code.
The 2022 edition of ICD-10-CM S26.11XA became effective on October 1, 2021.
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.