AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 2; Ask the Editor

Ventricular Fibrillation

A patient is admitted for multiple medical conditions and is status post automatic implantable cardioverter defibrillator (AICD) placement, for ventricular fibrillation. The cardiologist’s documentation states, “Ventricular fibrillation remains quiet no flares no symptoms no firings of the AICD.” Would ventricular fibrillation be considered a chronic condition that always meets reporting requirements? Previously published Coding Clinic advice clarified that for hospital reporting, it is appropriate to assign a code for a specific cardiac condition that is being controlled by the presence of a cardiac device. Would it be appropriate to report ventricular fibrillation in a patient who is status post AICD placement, if the condition did not occur during the admission? ...

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