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2025 ICD-10-CM code T82.2

Mechanical complication of coronary artery bypass graft and biological heart valve graft.

Coding should be compliant with the latest ICD-10-CM guidelines, including those relating to complications and external cause coding.Use additional codes as needed to capture the complete clinical picture.

Modifiers may be applicable depending on the specific circumstances of the encounter, such as the place of service or the type of provider involved. Consult the appropriate modifier guidelines for clarification.

Medical necessity is established when there is a documented mechanical complication of the coronary artery bypass graft or biological heart valve graft, requiring medical intervention (e.g., surgery, medication) to address the malfunction and prevent further harm to the patient.

Cardiothoracic surgeon, cardiovascular surgeon

IMPORTANT:Consider using additional codes from Chapter 20 (External causes of morbidity) to specify the cause of the complication.If a retained foreign body is involved, use code(s) from category Z18.-.

In simple words: This code describes problems caused by a mechanical issue with a heart bypass surgery graft or a biological heart valve replacement.It doesn't include problems with artificial heart valves or rejection of transplanted organs.

This code classifies mechanical complications arising from coronary artery bypass grafts or biological heart valve grafts.It excludes mechanical complications of artificial heart valve prostheses (T82.0-), and failure or rejection of transplanted organs and tissues (T86.-).

Example 1: A patient presents with chest pain and shortness of breath following a coronary artery bypass graft (CABG) procedure.Diagnostic testing reveals a dislodged graft.Code T82.2 is used to bill for this complication., A patient experiences sudden cardiac decompensation several months after a biological heart valve replacement.Echocardiography shows a mechanical malfunction of the valve requiring surgical intervention.Code T82.2 is assigned., A patient undergoing CABG surgery experiences bleeding from the graft site during the procedure, necessitating emergency surgery to repair the graft and stop the bleeding. Code T82.2 is assigned to reflect the mechanical complication of the graft.Additional codes may be needed to describe the bleeding and any other complications.

Complete operative report detailing the surgical procedure, including the type of graft used (biological or synthetic).Preoperative, intraoperative and postoperative imaging studies demonstrating the malfunction or complication, including echocardiogram.Documentation of patient symptoms and clinical course consistent with the diagnosis of a mechanical complication.

** Always refer to the most current ICD-10-CM coding guidelines for accurate coding practices.This information is for guidance only and does not constitute medical advice.

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