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Old 09-25-2008, 10:48 AM
chandler80 chandler80 is offline
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Default what is the ICD 9 code

diagnosis written as - CAD w/CABG AVR
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Old 09-25-2008, 11:25 AM
philwjp philwjp is offline
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Question B

I know what most of these stand for. CAD = Coronary Artery Disease, 414.0,
with C-? Arterial Blood Gases and Atrial Ventricular Regergitation. Maybe this helps???
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Old 09-25-2008, 11:39 AM
trarut trarut is offline
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CABG is coronary artery bypass graft and AVR is aortic valve replacement.

I would code it 414.00 with V45.81 and V43.3 (assuming the documentation supports the V codes).
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Old 09-25-2008, 11:52 AM
MLS2 MLS2 is offline
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I agree with trarut24.
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Old 09-28-2008, 09:13 PM
harshila harshila is offline
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hi i agree with trarut24,but if you don't mind can you explain how you find code
v45.81 what heading you look for that code
thank you
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Old 09-29-2008, 06:58 AM
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dmaec dmaec is offline
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I'd be using the 414.01 / 414.00 is often incorrectly coded. In our office this issue has given us MANY headaches -- What I do know for certain is; coders can only report code 414.00 (coronary Athersclerosis of Unspecified type of Vessel, Native or Graft) IF the documentation indicates that the patient DOES have a "non-native" coronary vessels from a CABG and that the physician DIDN'T specifiy where the CAD is in the patient. Two criteria must be met in order for us to use 414.00 - 1)the physician didn't document which type of artery has the disease and 2) there is documentation present that indicates that the patient actually has both native and non-native coronary arteries.
Coding Clinic for ICD-9-CM has a lot of info on this.
{that's my opinion on the posted matter}
Donna, CPC, CPC-H
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