Patricia Maccariella-Hafey

Coder Q&A with Pat Macc: Collapse of an Endograft

Coder Q&A with Pat Macc: Collapse of an Endograft

This would be considered a “mechanical” complication of the stent graft since the MD states it is a fracture of the endograft and it is folded over on itself. I would change T82.898A TO T82.598A for Other mechanical complication of other cardiac and vascular devices and implants, initial encounter. I did not use “displacement” because the surgeon did not state that the graft was displaced, only that it collapsed upon itself causing obstruction.

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Coding Tip: Unspecified Condition Codes and Combination Codes

Coding Tip: Unspecified Condition Codes and Combination Codes

One area that coders struggle with is when to report a separate condition code when an already assigned combination code includes the condition. For example, if an obstetric patient is admitted and delivers, and the physician documents “obstetric patient delivered with anemia,” should both code O99.02 Anemia complicating childbirth and D64.9, Anemia, unspecified be coded or should only O99.02 be assigned?

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