ICD 10 Coding Alert
Shift V45.01 and V45.02 To New Z Codes on Oct. 1, 2014
Don’t expect to see pacemaker and AICD codes grouped the same in ICD-9 and ICD-10.
When you need to indicate the presence of a pacemaker or automatic implantable cardiac defibrillator (AICD), without need for care, you’ll have to get used to turning to Z codes when ICD-10 is implemented. Here are the options you’ll use.
ICD-9-CM Codes
ICD-10-CM Codes
ICD-9 coding rules: You use V45.01 and V45.02 to indicate the presence of the named devices. If the patient has an AICD with synchronous cardiac pacemaker, you should report V45.02. If the patient has a malfunction or other complication, you should instead code that condition. And if the patient presents for fitting or adjustment, you should use V53.3x (Fitting and adjustment of cardiac device).
ICD-10 changes: ICD-10 offers a one-to-one code correspondence to your ICD-9 options. You’ll use the AICD code when the patient has an AICD with synchronous cardiac pacemaker. As with ICD-9, you should use a different code range for complications: T82.- (Complications of cardiac and vascular prosthetic devices, implants and grafts). And for adjustment or management, you’ll turn to Z45.0- (Encounter for adjustment and management of cardiac device).
Documentation: Your providers’ documentation should not need to change for you to choose the appropriate ICD-10 code.
Coder tips: Although these codes have a one-to-one match between ICD-9 and ICD-10, they are not organized the same way. In other words, if you look at a list of ICD-9 codes, V45.01 is followed immediately by V45.02. In ICD-10, there are a handful of codes between Z95.0 and Z95.810, the latter of which requires two more digits than Z95.0. If you use the index and then verify your code in the tabular list, these structural changes shouldn’t put a hitch in your coding.
Remember: CMS has finalized the ICD-10 compliance date of Oct. 1, 2014. When ICD-10 is implemented, you should apply the code set and official guidelines in effect for the date of service reported. Learn more at www.cms.gov/ICD10/ and www.cdc.gov/nchs/icd/icd10cm.htm#10 update.
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