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Thread: what is the ICD 9 code

  1. #1

    Default what is the ICD 9 code

    AAPC: CPC Promo
    diagnosis written as - CAD w/CABG AVR

  2. #2
    Join Date
    Apr 2007
    Posts
    19

    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???

  3. #3

    Default

    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).

  4. #4

    Default

    I agree with trarut24.

  5. #5

    Default

    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

  6. #6
    Join Date
    Apr 2007
    Location
    Duluth, Minnesota
    Posts
    1,135

    Default

    forrester,
    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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