Hemorrhage due to cardiac prosth dev/grft, sequela

This code signifies a long-term complication involving bleeding that arises from an implanted cardiac device, such as a pacemaker, defibrillator, artificial heart valve, or vascular graft. It indicates that the hemorrhage is a residual effect or late complication of the presence of the prosthetic device.

Apply this code when documenting a patient presenting with hemorrhage that is directly attributed to a previously implanted cardiac prosthetic device, and the bleeding is a chronic or late-developing issue. This is appropriate for follow-up encounters where the initial acute event related to the device may have already been addressed, but the bleeding persists or recurs as a sequela.

• Requires a seventh character "S" for sequela, indicating a complication or condition that arises as a direct result of an earlier injury or disease.
• Do not use for acute, active hemorrhage occurring during the initial hospitalization or immediate post-operative period related to the device implantation.
• Always code the specific type of hemorrhage (e.g., gastrointestinal hemorrhage, intracranial hemorrhage) if known and documented, in addition to this code.