2025 ICD-10-CM code T82
Complications of cardiac and vascular prosthetic devices, implants and grafts.
Yes, the code allows for application of 7th character to indicate the encounter type such as initial encounter (A), subsequent encounter (D) or sequela (S).
Medical necessity for the treatment of complications coded as T82 must be established by demonstrating that the treatment is necessary to address a direct consequence of the cardiac or vascular device, implant, or graft. Documentation should clearly link the complication to the device and explain why the chosen treatment is required to restore function, prevent further deterioration, or alleviate symptoms resulting from the complication.
Clinical responsibility for complications related to cardiac and vascular prosthetic devices, implants, and grafts typically falls under the purview of cardiothoracic surgeons, vascular surgeons, or interventional cardiologists, depending on the specific device and nature of the complication. The responsible physician must document the complication, investigate its cause, and determine the appropriate course of action, which might include medical management, surgical intervention, or other specialized procedures.
In simple words: This code is used when there are problems with an artificial heart valve, pacemaker, stent, or other implants used in the heart and blood vessels.Problems can include the device breaking, moving out of place, leaking, or causing an infection.
This code encompasses a range of complications arising from cardiac and vascular prosthetic devices, implants, and grafts.These complications can include mechanical issues like breakdowns, displacements, or leaks, as well as infections and inflammatory reactions. The code also covers other issues such as embolism, fibrosis, hemorrhage, pain, stenosis, and thrombosis related to these devices.
Example 1: A patient with a mechanical heart valve develops a leak, requiring surgical intervention to repair or replace the valve. The code T82.03XA would be used to indicate this complication., A patient experiences displacement of their pacemaker leads, leading to irregular heart rhythms. This complication would be coded as T82.120A., A patient with a vascular graft develops an infection at the graft site, necessitating antibiotic treatment and potential surgical debridement. T82.7 would be applied in this scenario.
Documentation for coding T82 should clearly specify the type of cardiac or vascular device, implant, or graft involved, the nature of the complication, and the relationship between the device and the complication.It should also include details of the intervention, if any, such as surgical repair, replacement, or medical management. Diagnostic imaging reports, operative notes, and progress notes should all be included to support the diagnosis and treatment provided.
** For proper coding, it's crucial to differentiate between complications arising from the device itself (T82) and other post-procedural complications.Conditions such as post-procedural infections unrelated to the device should be coded differently. Also, distinguishing between device failure and complications is essential. Device failure is typically coded under a different category, such as T86.- for failure and rejection of transplanted organs and tissues.Therefore, clear documentation is key for accurate code assignment.
- Specialties:Cardiothoracic Surgery, Vascular Surgery, Interventional Cardiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Office