icd 10 code for history of acl surgery another provider

by Lucio Corwin 5 min read

Full Answer

What is the ICD 10 code for postoperative aftercare?

Encounter for other specified surgical aftercare. Z48.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Z48.89 became effective on October 1, 2018.

What is the ICD 10 code for ACL revision?

If a patient has a failed ACL tear of the left knee and ends up having an ACL revision done.... do we use the ICD 10 code S83.512D or T84.410A or both? Any help or input would be greatly appreciated.

What is the ICD 10 code for sprain of anterior cruciate ligament?

Short description: Sprain of anterior cruciate ligament of left knee, init The 2021 edition of ICD-10-CM S83.512A became effective on October 1, 2020. This is the American ICD-10-CM version of S83.512A - other international versions of ICD-10 S83.512A may differ. The following code (s) above S83.512A contain annotation back-references

What is the new ICD 10 code for internal causes of injury?

The 2022 edition of ICD-10-CM S83.512A became effective on October 1, 2021. This is the American ICD-10-CM version of S83.512A - other international versions of ICD-10 S83.512A may differ. Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury.

What is the ICD-10 code for history of knee surgery?

Presence of artificial knee joint, bilateral 653 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 Z96. 653 became effective on October 1, 2021. This is the American ICD-10-CM version of Z96.

What is the ICD-10 code for History of surgery?

ICD-10 code Z98. 890 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What does diagnosis code Z98 890 mean?

Other specified postprocedural states2022 ICD-10-CM Diagnosis Code Z98. 890: Other specified postprocedural states.

What is ICD-10 code for follow up after surgery?

ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.

Are there ICD-10 codes for surgery?

Surgical procedure, unspecified as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure. Y83. 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 Y83.

What is the CPT code for history and physical?

CPT® 99236 is defined by the AMA as: Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date which requires these three key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity.

What is G89 29 diagnosis?

ICD-10 code G89. 29 for Other chronic pain is a medical classification as listed by WHO under the range - Diseases of the nervous system .

What does Postprocedural state mean?

Definition. the condition of a patient in the period following a surgical operation. [

What is the ICD-10 code for post op pain?

18.

What is the ICD-10 code for aftercare following orthopedic surgery?

ICD-10-CM Code for Encounter for other orthopedic aftercare Z47. 89.

What is Encounter for other orthopedic aftercare?

Code Z47. 81 (encounter for orthopaedic aftercare following surgical amputation) is used for visits following a surgical amputation and must be accompanied by an additional code that identifies the amputated limb (Table 2).

What is Encounter for other specified surgical aftercare?

ICD-10 code Z48. 89 for Encounter for other specified surgical aftercare is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the ICd 10 code for a failed ACL tear?

If a patient has a failed ACL tear of the left knee and ends up having an ACL revision done.... do we use the ICD 10 code S83.512D or T84.410A or both? Any help or input would be greatly appreciated.

What is S83.512A?

The patient at one time had a traumatic ACL Tear (S83.512A) which was treated by ACL Reconstruction. Some time after the original procedure, it was found that the "Reconstruction" had failed, but the reason for this is not given.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act, Section 1833 (e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period..

Article Guidance

This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L35090, Cosmetic and Reconstructive Surgery. Please refer to the LCD for reasonable and necessary requirements.

ICD-10-CM Codes that Support Medical Necessity

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim (s) submitted. The following ICD-10-CM code supports medical necessity and provides coverage for (CPT) code: 15781 for Dermabrasion.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

Problem lists, and past medical history in electronic health records

But, while it may be relevant to this encounter, without documentation that the clinician was thinking about this past stroke, I would not add it to the claim form. I wouldn’t assume that the physician/NP/PA was thinking about that in terms of the thigh pain after the injury, even though it is on the problem list.

Hierarchical Condition Categories and MEAT

When I was researching Hierarchical Condition Categories (HCCs) I came across the acronym MEAT.

Conditions that affect patient care

The example I use most frequently is the patient who presents to urgent care with a bad case of poison ivy. If the urgent care provider says in the assessment, “I’d like to give her prednisone, but I’m not going to because of her diabetes,” then I add diabetes to the claim form.

Risk adjustment for history of conditions

But would history of a stroke increase the risk score? That is, if the group has risk based contracts, does adding history of stroke increase the risk score for that patient? The answer is no. The diagnosis codes for current stroke and sequelae of a past stroke (I63, I69) do have HCC weighted scores assigned to him.

Additional resources

The CodingIntel Guide to Hierarchical Condition Categories provides a comprehensive list of HCC and Risk Adjusted Diagnosis Coding resources available on CodingIntel.