Valid for Submission
| ICD-10: | Z97.8 |
|---|---|
| Short Description: | Presence of other specified devices |
| Long Description: | Presence of other specified devices |
What is the ICD 10 drug index for baclofen?
Jun 26, 2019 · Jun 24, 2019. #1. Hello! Does anyone know what ICD-10 CM code would be best to use for "presence of baclofen pump?" I am thinking of using ICD-10 CM code Z97.8 "presence of other specified devices," but I am not certain this is the best code to use. Thank you for whatever help any of you can give me with this question. Zofia Mashchak, CPC.
How many terms under the parent term'baclofen'in the ICD-10-CM drugs index?
ICD-10-CM Diagnosis Code Z45.1 [convert to ICD-9-CM] Encounter for adjustment and management of infusion pump ICD-10-CM Diagnosis Code T47.8X1A [convert to ICD-9-CM] Poisoning by other agents primarily affecting gastrointestinal system, accidental (unintentional), initial encounter
How do you remove a baclofen medication pump?
Oct 01, 2021 · Z97.8 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 Z97.8 became effective on October 1, 2021. This is the American ICD-10-CM version of Z97.8 - other international versions of ICD-10 Z97.8 may differ.
What are the possible sequelae of discontinuation of intrathecal baclofen?
The ICD-10-CM Drugs Index is designed to allow medical coders to look up various medical terms and connect them with the appropriate ICD codes. There are 0 terms under the parent term 'Baclofen' in the ICD-10-CM Drugs Index . Baclofen. poisoning accidental. poisoning intentional self harm. poisoning assault. poisoning undetermined. adverse effect.
What is the ICD 10 code for medication management?
ICD-10-PCS GZ3ZZZZ is a specific/billable code that can be used to indicate a procedure.
What is Encounter for adjustment and management of vascular access device?
Valid for SubmissionICD-10:Z45.2Short Description:Encounter for adjustment and management of VADLong Description:Encounter for adjustment and management of vascular access device
What is the ICD 10 code for presence of bladder stimulator?
Valid for SubmissionICD-10:Z96.82Short Description:Presence of neurostimulatorLong Description:Presence of neurostimulator
What is gastrostomy status?
Presence of gastrostomy (artificial opening to stomach) Present On Admission.
What is the ICD 10 code for vascular access?
Z45.22 for Encounter for adjustment and management of vascular access device 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 presence of central line?
Presence of cardiac and vascular implant and graft, unspecified. Z95. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What is the ICD-10 code for presence of indwelling Foley catheter?
In ICD-10-CM, “urethral” is qualified in code T83. 511A for indwelling catheter.May 24, 2021
What is the ICD-10 code for Cystostomy?
ICD-10-CM Code for Cystostomy status Z93. 5.
Is a suprapubic catheter a Cystostomy ICD-10?
VICC's research indicates that cystostomy and suprapubic catheter (SPC) are synonymous terms and are considered a urinary stoma in ICD-10-AM. or Complication(s) (from) (of)/urethral catheter (indwelling) NEC/infection or inflammation T83.
What is the ICD-10 code for gastrostomy tube?
Encounter for attention to gastrostomy Z43. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What is the ICD-10 code for presence of jejunostomy tube?
The ICD-10-CM code Z93. 4 might also be used to specify conditions or terms like history of intubation of gastrointestinal tract via jejunostomy or jejunostomy present. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
What are the main types of gastrostomy devices might you see?
There are two common types of gastrostomy, Percutaneous Endoscopic Gastrostomy devices (PEGS) and low-profile 'Buttons'.
Indications and Usage
Lioresal ® Intrathecal (baclofen injection) is a muscle relaxant and antispastic that is indicated for use in the management of severe spasticity of cerebral or spinal origin.
Select Warnings and Precautions
It is mandatory that all patients, caregivers, and treating physicians receive adequate information regarding the risks of the mode of treatment.
Adverse Reactions
The most frequent drug adverse events vary by indication but include: hypotonia (34.7%), somnolence (20.9%), headache (10.7%), convulsion (10.0%), dizziness (8.0%), urinary retention (8.0%), nausea (7.3%), and paresthesia (6.7%). Dosing and programming errors may result in clinically significant overdose or withdrawal.
Use in Specific Populations
There are no adequate and well controlled studies in pregnant women. Lioresal ® Intrathecal should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
General Information
CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Article Guidance
An implanted infusion pump for chronic pain is covered by Medicare when used to 1) administer opioid drugs, singly or in combination with other opioid or non-opioid drugs, 2) intrathecal or epidural route; 3) for treatment of severe chronic intractable pain of malignant or nonmalignant origin in patients who have a life expectancy of at least three (3) months, and 4) the pain has been proven to be unresponsive to less invasive medical therapy. In order to be considered medically reasonable and necessary, all of the following criteria must be met and clearly documented in the beneficiary’s medical record:.
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.
What is the code for inpatient admissions?
The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals. The code Z97.8 describes a circumstance which influences the patient's health status but not a current illness or injury.
What is the Z97.8 code?
Z97.8 is a billable diagnosis code used to specify a medical diagnosis of presence of other specified devices. The code Z97.8 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
Is Z97.8 a POA?
Z97.8 is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG).
Contraindications
- Drug Information: Refer to appropriate drug labeling for indications, contraindications, warnings, precautions, dosage and administration, screening procedures, and under-/overdose symptoms and methods of management. Patients should be informed of the signs and symptoms of drug under- or overdose, appropriate drug warnings and precautions, and signs and symptoms that re…
Risks
- An inflammatory mass that can result in serious neurological impairment, including paralysis, may occur at the tip of the implanted catheter. Clinicians should monitor patients carefully for any new neurological signs or symptoms, change in underlying symptoms, or need for rapid dose escalation. Monitor patients appropriately after refill if a pocket fill is suspected. Failure to recog…
Products
- Infumorph® is a registered trademark of West-Ward Pharmaceutical. Prialt® is a registered trademark of Jazz Pharmaceuticals plc or its subsidiaries. Lioresal® is a registered trademark of Saol.
Description
- LIORESAL INTRATHECAL (baclofen injection) is a muscle relaxant and antispastic. Its chemical name is 4-amino-3-(4-chlorophenyl) butanoic acid, and its structural formula is: LIORESAL INTRATHECAL is a sterile, pyrogen-free, isotonic solution free of antioxidants, preservatives or other potentially neurotoxic additives indicated only for intrathecal administration. The drug is st…
Chemistry
- Baclofen is a white to off-white, odorless or practically odorless crystalline powder, with a molecular weight of 213.66. It is slightly soluble in water, very slightly soluble in methanol, and insoluble in chloroform.
Mechanism of action
- The precise mechanism of action of baclofen as a muscle relaxant and antispasticity agent is not fully understood. Baclofen inhibits both monosynaptic and polysynaptic reflexes at the spinal level, possibly by decreasing excitatory neurotransmitter release from primary afferent terminals, although actions at supraspinal sites may also occur and contribute to its clinical effect. Baclofe…
Pharmacology
- In people, as well as in animals, baclofen has been shown to have general CNS depressant properties as indicated by the production of sedation with tolerance, somnolence, ataxia, and respiratory and cardiovascular depression. Pharmacodynamics of LIORESAL INTRATHECAL: LIORESAL INTRATHECAL'S antispastic action is first seen at 6 to 8 hours after initiation of conti…
Effects
- Adult Patients: The onset of action is generally one-half hour to one hour after an intrathecal bolus. Peak spasmolytic effect is seen at approximately four hours after dosing and effects may last four to eight hours. Onset, peak response, and duration of action may vary with individual patients depending on the dose and severity of symptoms.
Administration
- Continuous Infusion: The mean CSF clearance for LIORESAL INTRATHECAL (baclofen injection) was approximately 30 mL/hour in a study involving ten patients on continuous intrathecal infusion. Concurrent plasma concentrations of baclofen during intrathecal administration are expected to be low (0- 5 ng/mL).
Toxicity
- Six pediatric patients (age 8-18 years) receiving continuous intrathecal baclofen infusion at doses of 77-400 mcg/day had plasma baclofen levels near or below 10 ng/mL.
Medical uses
- LIORESAL INTRATHECAL (baclofen injection) is indicated for use in the management of severe spasticity. Patients should first respond to a screening dose of intrathecal baclofen prior to consideration for long term infusion via an implantable pump. For spasticity of spinal cord origin, chronic infusion of LIORESAL INTRATHECAL via an implantable pump should be reserved for pa…
Research
- Spasticity of Spinal Cord Origin: Evidence supporting the efficacy of LIORESAL INTRATHECAL was obtained in randomized, controlled investigations that compared the effects of either a single intrathecal dose or a three day intrathecal infusion of LIORESAL INTRATHECAL to placebo in patients with severe spasticity and spasms due to either spinal cord trauma or multiple sclerosi…
Signs and symptoms
- Overdose: Signs of overdose may appear suddenly or insidiously. Acute massive overdose may present as coma. Less sudden and/or less severe forms of overdose may present with signs of drowsiness, lightheadedness, dizziness, somnolence, respiratory depression, seizures, rostral progression of hypotonia and loss of consciousness progressing to coma. Should overdose app…
Side effects
- Withdrawal: Abrupt withdrawal of intrathecal baclofen, regardless of the cause, has resulted in sequelae that included high fever, altered mental status, exaggerated rebound spasticity and muscle rigidity that in rare cases progressed to rhabdomyolysis, multiple organ-system failure, and death. In the first 9 years of post-marketing experience, 27 cases of withdrawal temporally r…
Prevention
- Prevention of abrupt discontinuation of intrathecal baclofen requires careful attention to programming and monitoring of the infusion system, refill scheduling and procedures, and pump alarms. Patients and caregivers should be advised of the importance of keeping scheduled refill visits and should be educated on the early symptoms of baclofen withdrawal.
Treatment
- Rapid, accurate diagnosis and treatment in an emergency-room or intensive-care setting are important in order to prevent the potentially life-threatening central nervous system and systemic effects of intrathecal baclofen withdrawal. The suggested treatment for intrathecal baclofen withdrawal is the restoration of intrathecal baclofen at or near the same dosage as before thera…
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