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ICD 10 CM Seventh-Character Coding A,D,S

Deborah h Posted Sun 03rd of May, 2015 08:57:46 AM

When converting ICD 9 code 996.2 to a ICD 10 diagnosis code for a procedure, how would you assign a 7th character A,D,S for a procedure that isn't due to an injury; example, a shunt is put in and later the patient returns to have the shunt or EVD removed due to mechanical failure, what 7th character would be used in this case? Please give the 7th character for both scenarios where 1.The physician who puts in the shunt, is the same physician who takes the shunt out and 2. if the physician who put in the shunt, is the another physician but from the same specialty. Please give sources and explain. Thanks

SuperCoder Answered Mon 04th of May, 2015 09:18:28 AM

The seventh character identifies the encounter as Initial, Subsequent, or Sequela due to injury and external cause also. Initial encounter (seventh character A) is used when the patient is receiving active treatment of the condition. Subsequent encounter (seventh character D) is used for encounters after the patient has received active treatment of the condition and is receiving routine care for the condition during the healing or recovery phase. Sequela, (seventh character S), is used for complications or conditions that arise as a direct result of a condition. Mechanical failure can be of breakdown, displacement, leakage or other mechanical complication. In the given scenarios, for same and different physician (but from same specialty) performing the procedure will have to code with Sequela (complication) with seventh character S.

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