AV graft with pseudo aneurysm

TBrown49TBrown49
in Home Care Coding General
pt hospitalized for evacuation of AV graft pseudo aneurysm. Home health orders for packing of wound.
I know it is a complication code. I was thinking
T82.898..
any thoughts?

Comments

  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited May 2017
    Hi Tammy.
    AV Graft? Sounds like a dialysis access site. I would get confirmation that this graft site will never be used for hemodialysis again before I admitted to HH because if the graft is still usable and this patient is traditional Medicare, then the care to the site by HH will not be covered.

    Nancy Wolverton RN, CCM, HCS-D-10
    Utilization Review Specialist
    Kindred at Home
    Little Rock, Arkansas
    501-508-8526 (o)
    501-690-2027 (c)
    Nancy.Wolverton@kindred.com
  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited May 2017
    Look at I77.0. AV Aneurysm acquired
    Aneurysm (other) I72 has an excludes for acquired aneurysm I77.0

    Nancy Wolverton RN, CCM, HCS-D-10
    Utilization Review Specialist
    Kindred at Home
    Little Rock, Arkansas
    501-508-8526 (o)
    501-690-2027 (c)
    Nancy.Wolverton@kindred.com
  • TBrown49TBrown49
    it will not be used again, pt has another graft site that they are now using.
    so you are saying , it would not be a complication code?
  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited May 2017
    I77.0 is the complication code.
    In using complication codes, we are instructed to look at the system chapter codes first for those codes.
    "Acquired" means it showed up unexpectedly in use of "Acquired aneurysm" (I77.0).

    Nancy Wolverton RN, CCM, HCS-D-10
    Utilization Review Specialist
    Kindred at Home
    Little Rock, Arkansas
    501-508-8526 (o)
    501-690-2027 (c)
    Nancy.Wolverton@kindred.com
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