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ICD-9 Coding for AAA - Status Post Repair

  1. #11
    Default Status Post Surgery
    Medical Coding Books
    There are too many surgeries for the ICD9 to have a status post code for each of them, so V45.89 can be used for status postoperative NEC. It's what I use (when there isn't a specific status post code for the surgery we performed) if the patient isn't having issues and our Doc's are just rounding status post surgery. Don't let the description under V45.89, in the tabular list, scare you away from using it. ICD9 could not list all the surgeries there either, but if you Google V45.89 you will find many articles written about the usage of V45.89, and there are a lot of procedures/surgeries that are covered by this code. Hope this helps.

    Jennifer Haney, CPC, CCC

  2. Default
    Quote Originally Posted by ram View Post
    As per ICD guideline, 'status post' indicate that 'a patient is either a carrier of a disease or has the sequelae or residual of a past disease or condition & also status code is distinct from a history code. The history code indicates that the patient no longer has the condition'. Owing to this, a history code cannot be choosen and so a direct code should be taken. Eg: CAD s/p CABG implies 414.00 and V45.81.

    Based upon what guidelines? I need to determine when it is proper to code for an AAA when it has been repaired. If a resection has been done, then I can see where the AAA no longer exists, but the insertion of a stent, the AAA still exists until that time that it shrinks away. Are there any official guidelines concerning Active/Status Post AAA, etc. Thank you

  3. Default Status post AAA Repair
    Is there an "official" guideline that states coding for an AAA that has been repaired stating whether is should be coded as 441.-- or V12.--. It makes sens if it is resected that a V code would be appropriate but if it is just a stent, does it not still exist? Although it may shrink over time with the stent. I would like to see the "official" guideline, there is nothing on CMS website or anywhere I have searched so far. Thank you!

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