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ICD-10 SEQUENCING FOR COMPLICATION

Charlene Posted Fri 18th of September, 2015 12:18:29 PM

Patient is status Rt. knee replacement (Z96.651), and has wear of spacer (T84.063A) w/pain (M25.561) such that revision is required.

Not sure of the proper sequencing of T84..., M25...,Z96...

Please interpret the ICD-10 guidelines for postprocedural complications for me of Chapter 19,Section g. #5 for this scenario.

SuperCoder Answered Mon 21st of September, 2015 07:25:14 AM

Well, thanks for your question.
Proper Sequencing for this scenario will be the same as you did T84.063A, M25.561, Z96.651. For reference, read guideline (Chapter 19, Section g, #2)

ICD-10 guidelines for intraoperative or postprocedural complications codes found within the body system chapter (ie. Disease of Eye and Adnexa) should be sequenced first, followed by a code(s) for specific complication
i.e. if the patient is undergoing cardiac surgery and during the procedure he developed cerebrovascular infarction then in that case the primary code would be the intraoperative cerebrovascular infarction during cardiac surgery followed by ICD -10 code for infarction.

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