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Stent Code

  1. Question Stent Code
    Medical Coding Books
    When a physician documents in the surgical history section of a note "PTCA w/Stent" can I use a V45.82 and a V45.09??

  2. Default
    I pulled this from Medicare's website, no V codes are listed

    ICD-9 Codes that Support Medical Necessity 92980

    Note: ICD-9 codes must be coded to the highest level of specificity

    410.00 - 410.02 ACUTE MYOCARDIAL INFARCTION OF ANTEROLATERAL WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF ANTEROLATERAL WALL SUBSEQUENT EPISODE OF CARE
    410.10 - 410.12 ACUTE MYOCARDIAL INFARCTION OF OTHER ANTERIOR WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF OTHER ANTERIOR WALL SUBSEQUENT EPISODE OF CARE
    410.20 - 410.22 ACUTE MYOCARDIAL INFARCTION OF INFEROLATERAL WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF INFEROLATERAL WALL SUBSEQUENT EPISODE OF CARE
    410.30 - 410.32 ACUTE MYOCARDIAL INFARCTION OF INFEROPOSTERIOR WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF INFEROPOSTERIOR WALL SUBSEQUENT EPISODE OF CARE
    410.40 - 410.42 ACUTE MYOCARDIAL INFARCTION OF OTHER INFERIOR WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF OTHER INFERIOR WALL SUBSEQUENT EPISODE OF CARE
    410.50 - 410.52 ACUTE MYOCARDIAL INFARCTION OF OTHER LATERAL WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF OTHER LATERAL WALL SUBSEQUENT EPISODE OF CARE
    410.60 - 410.62 TRUE POSTERIOR WALL INFARCTION EPISODE OF CARE UNSPECIFIED - TRUE POSTERIOR WALL INFARCTION SUBSEQUENT EPISODE OF CARE
    410.70 - 410.72 SUBENDOCARDIAL INFARCTION EPISODE OF CARE UNSPECIFIED - SUBENDOCARDIAL INFARCTION SUBSEQUENT EPISODE OF CARE
    410.80 - 410.82 ACUTE MYOCARDIAL INFARCTION OF OTHER SPECIFIED SITES EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF OTHER SPECIFIED SITES SUBSEQUENT EPISODE OF CARE
    410.90 - 410.92 ACUTE MYOCARDIAL INFARCTION OF UNSPECIFIED SITE EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF UNSPECIFIED SITE SUBSEQUENT EPISODE OF CARE
    411.0 - 412 POSTMYOCARDIAL INFARCTION SYNDROME - OLD MYOCARDIAL INFARCTION
    413.0 - 413.9 ANGINA DECUBITUS - OTHER AND UNSPECIFIED ANGINA PECTORIS
    414.00 - 414.06 CORONARY ATHEROSCLEROSIS OF UNSPECIFIED TYPE OF VESSEL NATIVE OR GRAFT - CORONARY ATHEROSCLEROSIS OF NATIVE CORONARY ARTERY OF TRANSPLANTED HEART
    414.11 ANEURYSM OF CORONARY VESSELS
    414.12 DISSECTION OF CORONARY ARTERY
    414.8 OTHER SPECIFIED FORMS OF CHRONIC ISCHEMIC HEART DISEASE
    414.9 CHRONIC ISCHEMIC HEART DISEASE UNSPECIFIED
    429.2 CARDIOVASCULAR DISEASE UNSPECIFIED
    785.51 CARDIOGENIC SHOCK
    996.00 MECHANICAL COMPLICATIONS OF UNSPECIFIED CARDIAC DEVICE IMPLANT AND GRAFT
    996.02 MECHANICAL COMPLICATION DUE TO HEART VALVE PROSTHESIS
    996.03 MECHANICAL COMPLICATION DUE TO CORONARY BYPASS GRAFT
    996.72 OTHER COMPLICATIONS DUE TO OTHER CARDIAC DEVICE IMPLANT AND GRAFT
    996.83 COMPLICATIONS OF TRANSPLANTED HEART
    997.1 CARDIAC COMPLICATIONS NOT ELSEWHERE CLASSIFIED

  3. #3
    Location
    Phoenix, AZ
    Posts
    620
    Default
    Yes, on the V45.82. V45.09 is for a pacemaker. Use it only if the patient has a PPM. Both can be used as additional dx only. Hopefully, the provider has given you other dx codes to use as primary.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  4. Default Stent Code
    Thanks for your input.....this is the first time I have used this forum.....

  5. Default
    V45.09 is not for s/p PM

    Common cardiac V codes
    V45.01 s/p PM
    V45.02 s/p ICD
    V48.81 s/p CABG
    V45.82 s/p PTCA
    V43.3 s/p valve replacement
    V58.61 anticoagulant/coumadin patients

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