Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Cardiology
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 04-07-2008, 11:43 AM
dawn1170 dawn1170 is offline
Networker
 
Join Date: Apr 2007
Posts: 46
dawn1170 is on a distinguished road
Default 414.00 vs 414.01

I am new to the cardiology scene and I have a question for the experts.

What code would you use for Coronary Artery Disease?

I am using 414.00 and the MD is using 414.01

Any help is greatly appreciated

Thanks,
Dawn
__________________
Dawn Smith, CPC
[email]dsmith28@iuhealth.org
Reply With Quote
  #2  
Old 04-07-2008, 12:07 PM
rthames052006's Avatar
rthames052006 rthames052006 is offline
True Blue
 
Join Date: Apr 2007
Location: York, Pa
Posts: 1,812
rthames052006 will become famous soon enough
Default

Quote:
Originally Posted by dawn1170 View Post
I am new to the cardiology scene and I have a question for the experts.

What code would you use for Coronary Artery Disease?

I am using 414.00 and the MD is using 414.01

Any help is greatly appreciated

Thanks,
Dawn
Have you reviewed the narrative in both codes, what does his documentation state. Does it clearly state Native coronary artery or is he being non-specific and just saying CAD...

I would check his documentation carefully, the dx he is using is very specific and the one your using is unspecified.

Just a thought
__________________
Roxanne Thames, CPC, CEMC
AAPCCA Board of Directors 2012-2015
Region 1- ME, NH, VT, MA, RI, CT, NY

Past President 2011, 2012 York, PA Chapter
Past President Elect 2010 York, Pa Chapter
Roxanne.Thames@aapcca.org
Reply With Quote
  #3  
Old 04-07-2008, 12:55 PM
dawn1170 dawn1170 is offline
Networker
 
Join Date: Apr 2007
Posts: 46
dawn1170 is on a distinguished road
Default 414.00 vs 414.01

The MD only states CAD.

The MD is using the 414.01 on all of his CAD charts. There is nothing mentioned about native artery however; In the AHA coding clinic it states that if there is no history of a Graft being performed than 414.01 is to be used. I am soooo confused.

Thanks
Dawn
__________________
Dawn Smith, CPC
[email]dsmith28@iuhealth.org
Reply With Quote
  #4  
Old 04-07-2008, 02:29 PM
mcpalmeter mcpalmeter is offline
Guru
 
Join Date: Apr 2007
Location: Jacksonville, Florida - 90417
Posts: 134
mcpalmeter is on a distinguished road
Default 414.00 vs 414.01

Hi Dawn,

Native coronary arteries are those that the patient was born with - before any bypasses were performed with veins or arteries from other areas of the body.

Per AHIMA's Coding Clinic:
Assign code 414.00 if the documentation does not identify the coronary artery involved. Code 414.01 is assigned if the documentation specifies that the CAD is of a native coronary artery or if there is no history of a previous coronary artery bypass graft (CABG). Code 414.02 is assigned if the documentation indicates CAD of a bypass graft using the patients own vein and code 414.03 is assigned when the graft is not of the patient's own tissue. Code 414.04 is assigned when the CAD involves an artery (mammary, brachial, etc) used as a bypass graft. Code 414.05 is assigned when the CAD is of a bypass graft but the type of bypass graft is not identified. It is incorrect to assign a code from range 414.02-414.05, merely because a patient has had previous coronary artery bypass surgery. Query the physician if the documentation in the medical record is unclear as to which artery is involved.

Hope this helps.

-Maryann C. Palmeter, CPC
Reply With Quote
  #5  
Old 04-12-2008, 07:20 PM
rthames052006's Avatar
rthames052006 rthames052006 is offline
True Blue
 
Join Date: Apr 2007
Location: York, Pa
Posts: 1,812
rthames052006 will become famous soon enough
Default

Quote:
Originally Posted by dawn1170 View Post
I am new to the cardiology scene and I have a question for the experts.

What code would you use for Coronary Artery Disease?

I am using 414.00 and the MD is using 414.01

Any help is greatly appreciated

Thanks,
Dawn
Hello Dawn,

I was on another coding website and saw this link, see what you think about it...

http://www.coderyte.com/resources/co...y-disease.html


I found it very interesting.
__________________
Roxanne Thames, CPC, CEMC
AAPCCA Board of Directors 2012-2015
Region 1- ME, NH, VT, MA, RI, CT, NY

Past President 2011, 2012 York, PA Chapter
Past President Elect 2010 York, Pa Chapter
Roxanne.Thames@aapcca.org
Reply With Quote
  #6  
Old 04-24-2008, 08:58 AM
Davistm Davistm is offline
Networker
 
Join Date: Apr 2007
Location: Moore, OK
Posts: 47
Davistm is on a distinguished road
Default

This is a very helpful string. The links and other information provided was excellent; very useful. Thanks to all involved.
Reply With Quote
  #7  
Old 05-10-2008, 07:08 AM
LindaTemp LindaTemp is offline
New
 
Join Date: Apr 2007
Posts: 3
LindaTemp is on a distinguished road
Default 414.00 vs. 414.01

Coding Clinical originally addressed this topic in 1995; however they published further clarification in Third Quarter 1997 Coding Clinic which indicates that for a diagnosis of coronary artery disease, when there is no documentation of prior CABG, the appropriate code selection would be 414.01. The assumption is that the vessel is native, unless specifically stated that there was are also graft vessels present.

Linda Templeton, CCS-P, CPC, CPC-H
Reply With Quote
  #8  
Old 05-11-2008, 07:40 AM
Ellacott Ellacott is offline
Networker
 
Join Date: Apr 2007
Posts: 35
Ellacott is on a distinguished road
Default

I also use 414.01, even if it is not specified. The way it was explained to me was that the patient always have CAD in their native artery. If they had a bypass the CAD was not removed, it was just bypassed.
Reply With Quote
  #9  
Old 05-12-2008, 06:44 AM
dawn1170 dawn1170 is offline
Networker
 
Join Date: Apr 2007
Posts: 46
dawn1170 is on a distinguished road
Default 414.00 vs 414.01

Thank you all for all the information and feedback.
__________________
Dawn Smith, CPC
[email]dsmith28@iuhealth.org
Reply With Quote
  #10  
Old 07-08-2008, 02:38 PM
lori mitchell lori mitchell is offline
New
 
Join Date: Apr 2007
Posts: 7
lori mitchell is on a distinguished road
Default Cad

If the documentation just says "coronary artery disease", then you should use the unspecified code 414.00. You would only use 414.01 if the documentation clearly states that it is CAD of a native artery (i.e. "80% stenosis of the LAD", etc.). I would caution anyone about "assuming" that the CAD is of a native artery.
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 10:02 AM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC