Angel Posted Thu 28th of February, 2019 11:58:48 AM
My providers are following patients who have had either aortic aneurysm repair or lobectomy for cancer several years later, (5 or 6 years) we are reporting Z48.812 for the visits. The aneurysm was repaired with endograft and is stable and the cancer has not returned. Can we still report Z48.812 at this time or is there a better way to report the continued care?
SuperCoder Answered Thu 28th of February, 2019 23:44:05 PM
Thank you for Question.
ICD 10 CM code Z48.812 states Encounter for surgical aftercare following surgery on the circulatory system.Aftercare visit codes cover situations when the initial treatment of a disease has been performed and the patient requires continued care during the healing or recovery phase, or for the long-term consequences of the disease.
Follow-up codes can be used to explain continuing surveillance following completed treatment of a disease, condition, or injury. They imply that the condition has been fully treated and no longer exists. They should not be confused with aftercare codes, or injury codes with a 7th character for subsequent encounter, that explain ongoing care of a healing condition or its sequelae. Follow-up codes may be used in conjunction with history codes to provide the full picture of the healed condition and its treatment. The follow-up code is sequenced first, followed by the history code. A follow-up code may be used to explain multiple visits. Hence,ICD 10 CM code Z08 Encounter for follow-up examination after completed treatment for malignant neoplasm would be appropriate for above mentioned documentation.
Hope this Helps!
Angel Posted Fri 01st of March, 2019 09:52:29 AM
Yes, this does help. Thank you for the explanation.
SuperCoder Answered Tue 05th of March, 2019 01:31:56 AM