Other postprocedural states (V45)

Question: When coding for cataract surgery, is it required or optional to code Z98.4 for the cataract extraction? So far claims have been paid without it, but I wanted to know if it is more completely coded with it, and if [...]

Question: Our physician performed a coronary angiogram and the procedure is described here below. This procedure was done for a patient with existing grafts who had suggestive ECG changes and the cardiac enzymes were indeterminate. Description of the procedure: “The right [...]

Question: Our cardiologist performed the procedure (abbreviated) below for a patient with existing grafts. She had dynamic T-wave changes in precordial leads. Cardiac enzymes were indeterminate. How should I report this using CPT®, ICD-9-CM, and ICD-10-CM? Description of the Procedure  The [...]

Section for codes will change in 2015, but descriptors won’t vary much.  Certain situations can lead to higher risk for your anesthesiologist during surgeries, such as when the patient has a pacemaker or automatic implantable cardiac defibrillator (AICD). Even if [...]

Question: Our new patient was referred to home care for aftercare following coronary artery bypass surgery due to coronary artery disease. She has co-morbidities of Type II diabetes, peripheral neuropathy, hypertension, and left-sided hemiplegia secondary to a stroke more than 20 [...]

V45.01 and V45.02 will become Z codes. Sometimes a patient whose case you’re coding has a pacemaker or automatic implantable cardiac defibrillator (AICD), but that’s not the reason the physician is treating the patient. You still need to include the [...]

E/M code lets you capture review credit. Attaching an incorrect modifier to an electrocardiogram (ECG or EKG) code can lead to denials and more time spent correcting the claim. Read on for time-saving advice that will get your claim paid [...]

Question: Our patient had an acute myocardial infarction (MI) five weeks ago. She had ventricular fibrillation and has an implanted defibrillator. She had a stent placed at the hospital and returned home. The physician documentation states that she has muscle weakness. [...]

Question:  Which diagnosis code should I report when a patient has had bypass surgery and comes in for a follow-up lower extremity duplex scan? Iowa Subscriber Answer:  Right now, you should use V58.49 (Other specified aftercare following surgery) with 93926 [...]

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 [...]