Page 2 of 2 FirstFirst 12
Results 11 to 15 of 15

414.00 vs 414.01

  1. #11
    Location
    Greeley, Colorado
    Posts
    2,045
    Exclamation
    Medical Coding Books
    Lori - check out the link posted by rthames052006 on 4/12/08. It is accurate on how to code CAD. If it is unspecified, the correct code is 414.01. To use 414.00 would be to assume that the patient has had a graft.
    Lisa

  2. #12
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    Actually, 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.
    I agree with Lisa, I'd go with 414.01.
    Donna, CPC, CPC-H

  3. Default Coding Coronary Artery Disease
    Here's the official coding rule from the second quarter, 1995 issue of Coding Clinic for ICD-9-CM:


    Question: Is it appropriate to assign code 414.01, Coronary atherosclerosis, of native coronary artery, if the medical record documentation does not indicate that the patient has a history of prior coronary artery bypass surgery?

    Answer: Assign code 414.01, Coronary atherosclerosis, of native coronary artery, if medical record documentation shows no history of prior coronary artery bypass. If the documentation is unclear concerning prior bypass surgery, query the physician.

    Again, Third quarter, 1997 issue of Coding Clinic for ICD-9-CM:

    Question: A patient has coronary artery disease. There is no mention of a past history of CABG. Should this be coded to 414.00, Coronary atherosclerosis of unspecified type of vessel, native or graft, or 414.01, Coronary atherosclerosis of native coronary artery?

    Answer: Assign code 414.01, Coronary atherosclerosis of native coronary artery. Since there is no history of CABG, this is a native coronary vessel. However, if the documentation is unclear concerning prior bypass surgery, query the physician. This is consistent with advice previously published in Coding Clinic, second quarter 1995, page 17.

    So, based on this guidance, it is correct to use 414.01 when the documentation states "coronary artery disease", and there is no documentation to indicate that the patient has anything other than native coronary arteries.

  4. Thumbs up
    I find all the information regarding coronary artery disease at supercoder.com, just see the link below.



    http://www.supercoder.com/articles/a...ery+disease%22
    Last edited by vikas.maheshwari; 07-08-2009 at 02:05 AM.

  5. #15
    Default Cad
    I agree with Lori. Be cautious of which CAD diagnosis you use. If a doctor does not specify a coronary vessel (any of the 5 main coronary arteries or their branches) and also does not specify that the coronary artery disease is in a graft of a coronary artery, 414.00 should be used. If he mentions that a previously done bypass graft is occluded (has a stenosis) you would use 414.02 to specify that the stenosis is in the graft. If he mentions a particular coronary artery vessel (left anterior descending, left circumflex, right coronary artery, etc...) has an occlusion (stenosis) you can code 414.01. You can also code 414.01 if he mentions that the patient has had a previous stent placed in a particular coronary vessel and also if they've had a previous bypass surgery performed (those aren't done unless the patient has been diagnosed with 414.01 already). In order to code 414.2 the doctor would have to state in his documention that there is a "chronic" total occulsion of a coronary artery. That's important, because the patient can have a subtotal occlusion, a total occlusion, a chronic total occlusion. There is a difference. Those of you who code interventions know what I'm talking about. Even though the subtext under 414.2 says "complete" and "total" we don't use 414.2 unless the Doctor says "chronic". If anyone has anything that supports using 414.2 for anything other than chronic please share that here. Thanks.

    Jenn Haney, CPC, CCC

Page 2 of 2 FirstFirst 12

Similar Threads

  1. 414.0?
    By sparkles1077 in forum Diagnosis Coding
    Replies: 0
    Last Post: 07-07-2015, 09:00 AM
  2. useage of 414.00 and v41.81
    By Coder_Rick in forum Diagnosis Coding
    Replies: 1
    Last Post: 12-30-2013, 10:10 AM
  3. 414.00 vs 414.01- can you elaborate
    By la_0922 in forum Diagnosis Coding
    Replies: 1
    Last Post: 07-17-2013, 02:17 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.