Pain due to cardiac prosth dev/grft, sequela

This code signifies persistent pain that arises as a late effect or complication from the presence of an artificial heart device, implant, or graft. This pain is not an acute or immediate post-operative issue but rather a long-term consequence. It indicates that the patient is experiencing ongoing discomfort directly attributable to the cardiac prosthetic.

Apply this code when a patient presents with chronic or recurrent pain specifically linked to a previously implanted cardiac device, such as a pacemaker, defibrillator, artificial valve, or coronary artery bypass graft. This is appropriate for follow-up encounters where the pain is a known, ongoing issue and not a new, acute problem. It should be used when the pain is a sequela, meaning a condition following as a consequence of a disease or injury.

• Always sequence this code after the primary diagnosis describing the underlying condition or reason for the encounter.
• Ensure documentation clearly states the pain is a sequela or late effect of the cardiac prosthetic, not an acute complication.
• Do not use for acute post-procedural pain or pain due to infection of the device; other codes are more appropriate for those scenarios.