2025 ICD-10-CM code T82.5
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury - Mechanical complication of other cardiac and vascular devices and implants Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Mechanical complication of other cardiac and vascular devices and implants.
Modifiers may be applicable depending on the circumstances of the service (e.g., bilateral procedures, multiple devices involved). Consult the appropriate coding guidelines for more detail.
Medical necessity for treatment of a mechanical complication would be supported by clinical findings indicating compromise to cardiovascular function (e.g., hemodynamic instability, organ dysfunction).This would justify interventions such as device repair, replacement, or other appropriate measures to address the compromise.
The clinical responsibility for this code falls upon the physician managing the patient's cardiovascular health.This would typically involve a cardiologist or cardiovascular surgeon, depending on the nature of the implant and complication.Their responsibilities include diagnosis of the mechanical complication, assessment of the severity and potential risks, and development of an appropriate management plan which may include device replacement, medical management, or surgical intervention.Post-operative care is also crucial.
In simple words: This code describes problems caused by the malfunction of devices implanted in the heart or blood vessels, excluding certain specific types of catheters.These problems could be due to the device breaking or not working properly.
This ICD-10-CM code classifies mechanical complications arising from cardiac and vascular devices or implants, excluding those specifically listed elsewhere, such as mechanical complications of epidural and subdural infusion catheters (T85.61).The code encompasses a range of issues related to the malfunction or failure of these devices, impacting their intended function within the cardiovascular system.
Example 1: A patient with an implanted pacemaker experiences a lead fracture, resulting in intermittent loss of pacing function.This necessitates urgent cardiology intervention for lead extraction and replacement., A patient with a vascular graft experiences thrombosis, leading to ischemia of the distal limb.This requires surgical intervention for graft revision or replacement, or other appropriate management to restore blood flow., A patient with an intra-aortic balloon pump experiences a mechanical failure of the pump, necessitating immediate cessation of the pump and potential for emergency cardiac surgery.
Comprehensive documentation should include details of the implanted device (manufacturer, model, date of implantation), the nature of the mechanical complication, relevant imaging studies (e.g., echocardiogram, angiography), and the management plan implemented.
** This code is broadly defined and encompasses a wide variety of mechanical complications related to cardiac and vascular devices.Thorough documentation is crucial for proper coding.
- Payment Status: Active
- Specialties:Cardiology, Cardiovascular Surgery
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Ambulatory Surgical Center