Download Medtronic Structural Heart ICD

Medtronic Structural Heart
ICD-10 Coding for Hospitals
Linda Holtzman RHIA, CCS, CCS-P, CPC,COC
Clarity Coding
January 2016
Disclaimer
Reimbursement information provided by Medtronic is for illustrative
purposes only and does not constitute legal advice.
Information provided is gathered from third party sources and is subject to
change without notice due to frequently changing laws, rules and
regulations. Medtronic makes no guarantee that the use of this information
will prevent differences of opinion or disputes with Medicare or other third
party payers as to the correct form of billing or the amount that will be paid
to providers of service.
The provider of service has the responsibility to determine medical
necessity and to submit appropriate codes and charges for care provided.
Please contact your local payers, reimbursement specialists and/or legal
counsel for interpretation of coding, coverage, and payment policies.
Medtronic does not promote the use of its products outside FDA-approved
labeling.
2
Topics

Background and Framework

ICD-10-CM Diagnosis Codes

ICD-10-PCS Procedure Codes

DRG Impact

Appendix : Key Resources

Questions
Attachment : Diagnosis Code Crosswalks
3
Background
and Framework
4
Effective Date
 ICD-10 went into effect October 1, 2015.
 Use of ICD-10 in the United States was formally proposed
in August 2008 and finalized in January 2009.
 Implementation of ICD-10 was initially scheduled for
October 2013 and has been postponed twice since then.
 ICD-10 is effective by date of discharge, not by date of
admission.
 ICD-10-CM for diagnosis codes and ICD-10-PCS for
procedure codes go into effect together on the same date.
5
Who Uses What
 Hospitals, physicians and all other providers must use
ICD-10 diagnosis codes.
 Hospitals must also use ICD-10-PCS procedure codes for
inpatient cases.
 Implementation of ICD-10 does not affect use of CPT.
6
Provider
Setting
Diagnoses
Procedures
Hospitals
Inpatient
ICD-10-CM
ICD-10-PCS
Hospitals
Outpatient
ICD-10-CM
CPT
Physicians
Facility/Office ICD-10-CM
CPT
ASCs
Outpatient
CPT
ICD-10-CM
ICD-10 Coding Guidelines
Guidelines for use of ICD-10 are available from
multiple credible sources.
 Instructions within the ICD-10 codebook itself
 The ICD-10 Official Guidelines for Coding and Reporting
 Coding Clinic and AHA Coding Clinic Advisor
 AHA ICD-10-CM and ICD-10-PCS Coding Handbook
 Minutes from meetings of the ICD-10 Coordination and
Maintenance Committee
 ICD-10-PCS Reference Manual
 AHIMA ICD-10-PCS: An Applied Approach
7
General Equivalence Mappings
General Equivalence Mappings (GEMs) are useful tools for
going back-and-forth between ICD-9 and ICD-10 codes, for
both diagnoses and procedures.
 Forward GEMs go from ICD-9 to ICD-10;
Backward GEMs go from ICD-10 to ICD-9.
 The GEMs can be found at:
http://www.cdc.gov/nchs/icd/icd10cm.htm#icd2105
http://www.cms.gov/Medicare/Coding/ICD10/
2015-ICD-10-CM-and-GEMs.html
GEMs can be a good starting place. But NCHS
and CMS strongly recommend coding directly
from the ICD-10 codebooks, as studies have
consistently indicated that this is most accurate.
8
ICD-10-CM
Diagnosis Codes
9
Diagnosis Code Structure
 Codes are organized by chapter, mostly by body system.
The chapters are virtually identical to those in ICD-9-CM.
 Codes are alpha-numeric and can be 3 to 7 digits long.
Category
T
alpha
Q
I
10
8
2
number
2
2
Details
Decimal
1
5



2
2
Extension
3
alpha or number
Q21.3
Tetralogy of Fallot
3
1
A
T82.223A
Leakage of biological heart
valve graft, initial encounter
0
I25.10
Atherosclerotic heart disease
of native coronary artery
without angina pectoris
Volume of Diagnosis Codes
ICD-10-CM has far more diagnosis
codes than ICD-9-CM and provides a
greater level of specificity.
14,567 codes
Example: Non-rheumatic aortic valve disorders
69,823 codes
ICD-9-CM
Aortic valve
disorders
424.1
ICD-9-CM
ICD-10-CM
ICD-10-CM
I35.0
I35.1
I35.2
I35.8
I35.9
Non-rheumatic aortic (valve) stenosis
Non-rheumatic aortic (valve) insufficiency (regurgitation)
Non-rheumatic aortic (valve) stenosis with insufficiency
Other non-rheumatic aortic valve disorders
Non-rheumatic aortic valve disorder, unspecified
Example: Mechanical complication of coronary artery bypass graft
ICD-9-CM
996.03
11
T82.211A
Mechanical
complication
T82.212A
due to coronary
T82.213A
artery bypass
graft
T82.218A
ICD-10-CM
Breakdown (mechanical) of coronary artery bypass graft, initial encounter
Displacement of coronary artery bypass graft, initial encounter
Leakage of coronary artery bypass graft, initial encounter
Other mechanical complication of coronary artery bypass graft, initial encounter
Valve Disorders
 Aortic valve stenosis and
pulmonary valve disorders default
to non-rheumatic.
 Mitral valve stenosis and
tricuspid valve disorders default
to rheumatic.
 Valve disease with involvement of
multiple valves (aortic, mitral, tricuspid)
is coded as rheumatic whether
documented as rheumatic or not.
12
Angina and Coronary Artery Disease
 Angina codes (I20) are not assigned separately if the patient
also has CAD. A combination code is used instead.
 A cause-and-effect relationship between angina and CAD
can be assumed.1
 To code CAD in ICD-10-CM, the coder must know three things:
 Does the patient also have angina?
 What kind of vessel has coronary atherosclerosis?
 What kind of angina?
Code
Description
Atherosclerotic heart disease of native coronary artery
without angina pectoris
Atherosclerotic heart disease of native coronary artery
I25.119
with unspecified angina pectoris
Atherosclerosis of coronary artery bypass graft(s),
I25.709
unspecified, with unspecified angina pectoris
I25.10
Notes
Use for CAD or ASHD NOS without angina
Use for CAD or ASHD NOS with angina
Use for CAD or ASHD with CABG with angina
1. ICD-10-CM Official Guidelines for Coding and Reporting (Diagnoses), FY 2015, p.42
13
Device Complications
 Mechanical complication is defined the same way in ICD-10-CM
as it is in ICD-9-CM.
 ICD-10-CM differentiates between mechanical complications of
artificial valves and tissue valves.
Code
T82.01xA
T82.221A
Description
Breakdown (mechanical) of heart valve prosthesis, initial
encounter
Breakdown (mechanical) of biological heart valve graft,
initial encounter
Notes
Artificial valve devices (metallic)
Tissue valve devices, including bioprosthetics
 Occlusion of a coronary artery bypass graft due to atherosclerosis
is not coded as a complication. Use I25.7 instead.2
 ICD-10-CM has a specific code for infection of heart valve device.
Code
T82.6xxA
T82.7xxA
Description
Infection and inflammatory reaction due to cardiac valve
Heart valve devices (any type)
prosthesis, initial encounter
Infection and inflammatory reaction due to other cardiac
All other cardiac devices
and vascular devices, implants, and grafts, initial encounter
2. AHA ICD-10-CM and ICD-10-PCS Coding Handbook, FY 2015, p.535
14
Notes
Device Complications
 For other (non-mechanical) complications, ICD-10-CM
differentiates the type of complication but not the type of device.
ICD-9-CM
ICD-10-CM
Other complication
996.71 due to heart valve
prosthesis
T82.817A
Embolism of cardiac prosthetic devices, implants and grafts, initial encounter
T82.827A
Fibrosis of cardiac prosthetic devices, implants and grafts, initial encounter
T82.837A
Hemorrhage of cardiac prosthetic devices, implants, grafts, initial encounter
Other complication
996.72 due to other
cardiac device,
implant and graft
(including coronary
artery bypass graft)
T82.847A
Pain from cardiac prosthetic devices, implants and grafts, initial encounter
T82.857A
Stenosis of cardiac prosthetic devices, implants and grafts, initial encounter
T82.867A
Thrombosis of cardiac prosthetic devices, implants, grafts, initial encounter
T82.897A
Other specified complication of cardiac prosthetic devices, implants and
grafts, initial encounter
 Proposals have already been made to ICD-10 C&M Committee
to create new codes that provide more detail on the specific
device.
15
Status and Encounter
ICD-9-CM
ICD-10-CM
Z95.3
Presence of xenogenic heart valve
Z95.4
Presence of other heart valve replacement
Z95.2
Presence of prosthetic heart valve
V45.81 Aortocoronary bypass status
Z95.1
Presence of aortocoronary bypass graft
V53.39 Fitting and adjustment of other cardiac device
Z45.09
Encounter for adjustment and management of
other cardiac device
V42.2
V43.3
Heart valve replaced by transplant (tissue)
Heart valve replaced by other means (artificial)
 Code Z95.2 is used for the presence of a mechanical heart
valve. It is also the default code for the presence of any nonnative valve.
 Code Z95.3 is used for the presence of animal tissue valves,
including bioprosthetics, eg. CoreValve.
 Code Z95.4 is used for the presence of a homograft valve.
 Expected end-of-life for a heart valve graft is not coded as
a complication. Use Z45.09 instead.3
3. Coding Clinic, 2nd Q 2008
16
TAVR: Valve-in-Valve
In mid-2015, transcatheter aortic valve replacement
received a new indication for treatment of “failure” of a
previously placed bioprosthetic valve.
 For coding purposes, the key factor is whether the
“failure” is a complication or an expected occurrence.
Scenario
ICD-10-CM
Malposition or displacement of
previously placed valve
T82.222A Displacement of biological heart valve graft, initial encounter
Premature stenosis of the
previously placed valve
T82.857A
Premature regurgitation of the
previously placed valve
T82.223A Leakage of biological heart valve graft, initial encounter
Expected degeneration of
previously placed valve (end-of-life)
Z45.09
Stenosis of cardiac prosthetic devices, implants and grafts,
initial encounter
Encounter for adjustment and management of other cardiac
device
 Seventh digit “A” is correct for the complication codes
because active treatment is provided for the valve failure.4
4. Coding Clinic, 1st Q 2015
17
ICD-10-PCS
Procedure Codes
18
ICD-10-PCS Format
 Codes are alpha-numeric and are always 7 digits long.
 There is no decimal point.
 There are virtually no unspecified or default codes.
 Each position in an ICD-10-PCS procedure code represents
a distinct element.
1
section
19
2
3
4
5
root operation
approach
body system
body part
6
7
qualifier
device
Structure of ICD-10-PCS Codes
 In ICD-10-PCS, codes are not assigned per se. They are
constructed, character by character.
 ICD-10-PCS contains no instructional notes.
 Standardized terms and definitions are used throughout.
20
Volume of Procedure Codes
ICD-10-PCS has far more procedure
codes than ICD-9-CM and provides
much greater specificity.
CABG: ICD-9-CM
9 codes
ICD-10-PCS 232 codes
ICD-9-CM
3,882 codes
ICD-10-PCS
71,962 codes
 Use of ICD-10-PCS requires in-depth clinical and technical
coding knowledge:
 Relevant clinical anatomy
 Procedural components
 Exact nature of devices used
 Standard terms, particularly Root Operation
 Procedure coding guidelines and precedents
21
Structural Heart Procedures
 Surgical Valve Replacement
 Valve Annuloplasty
 Transcatheter Aortic Valve Replacement





22
Aortic Root Replacement
Valved Conduit Implantation
Transcatheter Pulmonary Valve Replacement
CABG
Cardiopulmonary Bypass
Surgical Valve Replacement
Surgical valve replacement refers to open removal of the
native valve and implantation of a new valve, either tissue or
mechanical.
Root Operation
 R - Replacement
Putting in or on biological or synthetic
material that physically takes the place
and/or function of all or a portion of a
body part
Coding Guidelines
 Removal of the native valve is not
coded separately.5
mitral
valve
pulmonary
valve
tricuspid
valve
5. ICD-10-PCS Official Guidelines for Coding and Reporting (Procedures), FY 2015, B3.1b
23
aortic
valve
Surgical Valve Replacement
Devices
 8 – Zooplastic Tissue : 3f, Hancock, Mosaic
 J – Synthetic Substitute : Open Pivot
Example
 Open chest excision of aortic valve, implantation of Mosaic valve
02RF08Z Replacement of aortic valve with zooplastic tissue, open approach
24
Valve Annuloplasty
Annuloplasty involves repairing a leaky valve by placing a
ring around the valve opening to support the leaflets and
bring them together properly.
Root Operation
 U - Supplement6
Putting in or on biological or synthetic
material that physically reinforces
and/or augments the function of a
portion of a body part
Devices
 J – Synthetic Substitute : Contour 3D, Profile 3D
6. ICD-10-PCS Reference Manual, FY 2015, p.71
25
Valve Annuloplasty
Example
 Annuloplasty using Contour 3D tricuspid annuloplasty ring
02UJ0JZ Supplement, tricuspid valve with synthetic substitute, open approach
26
Transcatheter Aortic Valve Replacement
This procedure is usually abbreviated TAVR or TAVI.
Procedural Components
 Access is usually through the femoral artery, though it may also be
through other access such as the subclavian artery or transaortic
approach for the Medtronic CoreValve device
 The catheter is advanced through the aorta and over the native valve.
 Valvuloplasty may be performed to crush the native valve.
 The delivery catheter is placed over the remains of the native valve
and expanded to deploy the new valve.
27
Transcatheter Aortic Valve Replacement
Root Operation
 R - Replacement
Putting in or on biological or synthetic material that physically takes the
place and/or function of all or a portion of a body part
Explanation: The body part may have been taken out or replaced, or may
be taken out, physically eradicated, or rendered nonfunctional during the
Replacement procedure.7
Coding Guidelines
 Based on the Explanation, balloon valvuloplasty to
eradicate the native valve is not coded separately
when performed.
Devices
 8 – Zooplastic Tissue : CoreValve
7. ICD-10-PCS Reference Manual, FY 2015, p.69
28
Transcatheter Aortic Valve Replacement
Example
 TAVR with implantation of CoreValve
02RF38Z Replacement of aortic valve with zooplastic tissue, percutaneous
approach
29
TAVR: Valve-in-Valve Procedure
In a valve-in-valve procedure, a new
transcatheter valve is placed directly
within the failed previous valve device.
Root Operation
 R - Replacement
Valve-in-valve is a redo of the prior valve
replacement procedure. The previous valve
is rendered non-functional and is replaced
with an entirely new valve.
A complete re-do of a procedure is coded to
the root operation performed. By definition,
root operation R-Replacement continues to
be used when a device that replaces a body
part is itself replaced. 8
8. ICD-10-PCS Reference Manual, FY 2015, p.69
30
Aortic Root Replacement
Anatomy
The aortic root is the distal end of
the ascending thoracic aorta.
The place where the aortic root joins
the left ventricle of the heart is the
aortic valve. In other words, the
aortic valve sits inside the aortic root.
The coronary arteries arise from the
aortic root, just before the aorta joins
the left ventricle of the heart.
aortic arch
ascending
thoracic
aorta
aortic
root
valve
annulus
coronary
artery
31
ostium of
coronary
artery
valve
leaflets
Aortic Root Replacement
Devices
 8 – Zooplastic Tissue : Freestyle Aortic Root
Procedural Components
The aortic root may be replaced due to, for example, a congenital
anomaly or an aortic root aneurysm.
There are three different procedural scenarios.
Procedure Scenario 1
 Freestyle is used to replace the aortic valve with no other distinct
procedural components.
 Code as a surgical valve replacement.
32
Aortic Root Replacement
Procedure Scenario 2
 Freestyle is used to replace the aortic valve as
well as a portion of the aortic root.
 The coronary artery “buttons” must be popped off
and later re-implanted.
 Code as a surgical valve replacement.
 At this time, precedent indicates that re-implanting the coronary
buttons should not be coded separately.9
 A coding proposal addressing re-implantation of coronary buttons
was presented at the March 2015 C&M meeting, so further guidance
and possible code table changes may be forthcoming.
9. See Coding Clinic 4th Q 2013
33
Aortic Root Replacement
Procedure Scenario 3
 Freestyle is used to replace the aortic valve as
well as a significant portion of the aortic root.
 The coronary artery buttons are popped off and
later re-implanted.
 The adjacent segment of the ascending thoracic
aorta is excised and replaced by a separate graft,
which is anastomosed to the Freestyle.
 Code a surgical valve replacement.
 At this time, do not code re-implanting the coronary artery buttons.
 Assign a separate code for the ascending aorta graft.10
10. See Coding Clinic 4th Q 2013
34
Aortic Root Replacement
Example
 Aortic valve and aortic root replacement with Freestyle bioprosthesis,
excision of ascending aorta and replacement with synthetic graft
02RF08Z Replacement of aortic valve with zooplastic tissue, open approach
02RW0JZ Replacement of thoracic aorta with synthetic substitute, open approach11
11. AHA ICD-10-CM and ICD-10-PCS Coding Handbook, FY 2015, p.435
35
Valved Conduit Implantation
A valved conduit is exactly that:
a tube with a valve inside.
Device
 The Contegra Pulmonary Valved
Conduit is an RV-PA conduit.
 8 – Zooplastic Tissue: Contegra
Procedural Components
There are two different procedural scenarios:
 reconstruct the right ventricular outflow tract in congenital heart
malformations
 completely replace a previously placed RV-PA conduit
Humanitarian Use Device:
Authorized by Federal law for use in patients under 18 years of age for correction or reconstruction of the Right Ventricular Outflow Tract (RVOT)
in the following congenital heart malformations: Pulmonary Stenosis, Tetralogy of Fallot, Truncus Arteriosus, Transposition with Ventricular Septal
Defect (VSD), Pulmonary Atresia. In addition, the Contegra Pulmonary Valved Conduit is indicated for the replacement of previously implanted but
dysfunctional pulmonary homografts or valved conduits. The effectiveness of this device for these uses has not been demonstrated.
36
Valved Conduit Implantation
Root Operation
 1 – Bypass, and this is used in both procedural scenarios12
Coding Guidelines
 For Bypass, the fourth character shows the body part being bypassed
from and the qualifier shows the body part being bypassed to.13
Example
 Removal of prior RV-PA conduit and replacement with a new Contegra
pulmonary valved conduit
021K0KP Bypass right ventricle to pulmonary trunk with nonautologous tissue
substitute, open approach14
37
12. Coding Clinic, 3rd Q 2014
13. ICD-10-PCS Official Guidelines for Coding and Reporting (Procedures), FY 2015, B3.6a
14. Coding Clinic, 4th Q 2014
Transcatheter Pulmonary Valve Rplcmnt
This procedure is usually abbreviated TPVI.
 Patients who undergo
transcatheter pulmonary valve
replacement with the Medtronic
device have previously had a
valved RV-PA conduit placed.
valve
location
within
conduit
 The previously placed RV-PA
conduit has either developed
complications or reached its
expected end-of-life and now
needs to be replaced.
 The conduit itself is not replaced
but a new valve is placed inside it.
38
RV-PA
conduit
Transcatheter Pulmonary Valve Rplcmnt
Procedural Components
 Access is usually through the femoral vein.
 The catheter is advanced through the vena
cava into the right atrium, through the tricuspid
valve, and into the right ventricle.
 From the right ventricle, the catheter is advanced
into the previously placed valved conduit.
 Valvuloplasty is performed to crush the
previously placed valve and prepare the site.
 The delivery catheter is placed over the remains
of the previously placed valve and expanded to
deploy the new valve inside the conduit.
39
Root Operation
Devices
 R - Replacement
 8 – Zooplastic Tissue : Melody
Transcatheter Pulmonary Valve Rplcmnt
Coding Guidelines
 Balloon valvuloplasty is not coded separately.
 There are no published coding guidelines specifically addressing
replacement of a pulmonary valve within an RV-PA conduit.15
Example
 Transcatheter pulmonary valve replacement with Melody
02RH38Z Replacement of pulmonary valve with zooplastic tissue, percutaneous
15. See also AHA ICD-10-CM and ICD-10-PCS Coding Handbook, FY 2015, p.420
40
CABG
Coding Guidelines
 For Bypass for CABG, the fourth character shows the number of
coronary artery sites being bypassed and the qualifier shows the
vessel bypassed from, ie. the vessel now supplying the blood.16
 The Device character refers to use of a free graft between the vessels:17
 9 – autologous venous graft, eg. saphenous vein graft
 A – autologous arterial graft, eg. radial artery graft
 J – synthetic substitute, eg. Gore-Tex graft
 K – nonautologous tissue substitute, eg. cadaveric vessel
 If the vessels are connected directly without use of a free graft:17
 Z – no device
 Use of hypothermia, cardioplegia, intraoperative pacing, and chest
tube insertion are all integral and not coded separately.17
 Use of cardiopulmonary bypass is coded separately.17
 Harvest of an autologous free graft is also coded separately.17
16. ICD-10-PCS Official Guidelines for Coding and Reporting (Procedures), FY 2015, B3.6b
17. AHA ICD-10-CM and ICD-10-PCS Coding Handbook, FY 2015, p.423-427
41
CABG
Example
 CABG, aortocoronary bypass to OM branch of LCx and
RCA via (right) saphenous vein graft (endoscopic harvest),
and LIMA to LAD
021109W Bypass coronary artery, two sites from aorta with autologous
venous tissue, open approach
02100Z9 Bypass coronary artery, one site from left internal mammary, open
06BP4ZZ Excision of right greater saphenous vein, perc endoscopic approach
42
Cardiopulmonary Bypass
Coding Guidelines
 Use of CPB is coded separately with the primary procedure, eg. valve
replacement, CABG.
 Insertion of the cannulae is not coded separately.
Example
 Cardiopulmonary bypass
5A1221Z Performance of cardiac output, continuous
43
DRG Impact
44
ICD-10 DRG Conversion
The conversion of the DRG Grouper is
about coding, not about grouping.
CMS has repeatedly stated its goal in the DRG conversion:
The same DRG will be assigned regardless of
whether the case is coded in ICD-9 or ICD-10.
 The conversion process has involved only replacing the
ICD-9-CM codes with the equivalent ICD-10 codes.
 DRG titles and underlying DRG logic has not changed, but
some minor DRG variations are unavoidable.
 In a study of 10 million FY 2013 MedPAR records, CMS found a
DRG shift of 1.07%, with reimbursement change of -0.04%18
 If the same DRG is not assigned, recheck the codes
18. Estimating the Impact of the Transition to ICD-10 on Medicare Inpatient Hospital Payments
http://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/Downloads/2015-03-18-Impact-ICD10-Transition.pdf
45
Sample CCs
Code
E44.0-E46
E87.0
E87.1
I31.4
Description
other malnutrition
hypernatremia
hyponatremia
cardiac tamponade
cardiomyopathy (non-ischemic)
I42.0, I42.5,
(dilated, congestive, constrictive,
I42.8-I42.9
restrictive)
I44.2
AV block, complete
I45.2
bifascicular block
I45.3
trifascicular block
I45.89
other conduction disorder
I47.2
ventricular tachycardia
I50.1
left ventricular failure
I50.20
systolic heart failure, unspecified
I50.22
systolic heart failure, chronic
I50.30
diastolic heart failure, unspecified
I50.32
diastolic heart failure, chronic
combined diastolic/systolic heart
I50.40
failure, unspecified
I50.42
combined diastolic/systolic heart
failure, chronic
Code
I82.409-I82.891
J44.1
J80
J90, J94.2, J94.8
J95.811-J95.812
J96.10-J96.12
J98.11-J98.19
K56.0,
K56.60-K56.7
N17.8-N17.9
N18.4
N18.5
N39.0
R65.10
R78.81
Z68.1
Z68.41-Z68.45
Description
venous thrombosis and
embolism
acute exacerbation of COPD
acute respiratory distress
syndrome (adult, child)
pleural effusion, hemothorax,
hydrothorax (non-traumatic)
iatrogenic pneumothorax, air leak
respiratory failure, chronic
atelectasis, pulmonary collapse
bowel obstruction, ileus
acute renal failure, other and
unspecified
CKD, stage IV
CKD, stage V
urinary tract infection
SIRS
bacteremia
BMI less than 19, adult
BMI 40 and over, adult
46
Sample MCCs
Code
A40.0-A40.9,
A41.01-A41.9
E41-E43
I21.01-I21.4,
I22.0-I22.9
I26.01-I26.99
I50.21
I50.23
I50.31
I50.33
I50.41
I50.43
J12.0-J18.9
J69.0
J81.0
J96.00-J96.02
J96.20-J96.22
N17.0-N17.2
N18.6
R65.20-R65.21
Description
septicemia, sepsis
severe malnutrition
acute myocardial infarction
pulmonary embolism
systolic heart failure, acute
systolic heart failure, acute on chronic
diastolic heart failure, acute
diastolic heart failure, acute on chronic
combined diastolic/systolic heart failure, acute
combined diastolic/systolic heart failure, acute on chronic
pneumonia
aspiration pneumonia
acute pulmonary edema
respiratory failure, acute
respiratory failure, acute on chronic
acute renal failure, specified lesion
ESRD
severe sepsis
47
Appendix:
Key Resources
48
Key Websites
NCHS and CMS have a wealth of ICD-10 resources and
educational materials available on-line.
NCHS http://www.cdc.gov/nchs/icd/icd10cm.htm#icd2105
• ICD-10-CM Tabular and Index
• Diagnosis code GEMS
• Official ICD-10-CM guidelines (diagnoses)
CMS
http://www.cms.gov/Medicare/Coding/ICD10/2015-ICD-10-CMand-GEMs.html
• ICD-10-PCS Code Tables and Index • Procedure code GEMs
• Official ICD-10-CM guidelines (procedures)
ICD-10 Coordination and Maintenance Committee
Diagnoses: http://www.cdc.gov/nchs/icd/icd9cm_maintenance.htm
Procedures: http://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/
ICD-9-CM-C-and-M-Meeting-Materials.html
• Code proposals, presentation slides, videos, summaries
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Medtronic Contacts
Medtronic is available to assist with your ICD-10 questions
and issues.
 Medtronic Cardiovascular Hotline: 1-866-616-8400
 Email us:
[email protected]
 Reach out to the Reimbursement Team directly:
Angelica Oyugi, RHIA, Principal Analyst
763-505-8451
[email protected]
Ann Scott, Program Director
763-514-9735
[email protected]
Bonnie Handke, Sr. Director
763.526.0963
[email protected]
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We’re here to
help make this
transition
smoother for you
© 2016Medtronic. All rights reserved. UC201506613a EN
Health Economics & Reimbursement Regional Team
N
Midwest: Teresa Stamper-Strelitz
Northeast: Jean Plis
Pacific Northwest: Teresa Stamper-Strelitz
N
North Central : Kim Munro
Greater NY: Jean Plis
P
PA Great Lakes: Kim Munro
Hollywood: Kim Munro
Capital: Teresa Stamper-Strelitz
SouthEast: Teresa Stamper-Strelitz
South Central: Jean Plis
Kimberly Munro:
Jeannine Plis:
Teresa Stamper-Strelitz:
Cell: 440-340-8266
Cell: 518-573-5277
Cell: 404-242-6188
Structural Heart Health Care Economics, Policy and Payment
UC201605543 EN © 2016 Medtronic . All Rights Reserved. 01/2016
Email: [email protected]
Email: [email protected]
Email: [email protected]
Questions