Icd 9 for pt who is on Coumadin (warfarin) due to mechanical heart valve?

V58.83. Use v58.83, “encounter for therapeutic drug monitoring, ” for the primary diagnosis followed by v58.61, “long-term current use of anticoagulants, ” and v43.3 for the heart valve. Codes v58.61 and v43.3 are designated for use as secondary diagnosis codes only.

Related Questions

I'm on warfarin for a mechanical heart valve and I too my blood pressure and my heart pulse is low 52 is this an emergency room matter right now?

Depends. Would like to know what the blood pressure is and especially if you have any symptoms such as dizziness, chest pain, weakness, passing out etc. warfarin in should not cause blood pressure or heart rate to be low but you do need to check your inr which measures how thick or thin your blood is. This is done with a simple fingerstick blood draw in our office. . Read more...

Pat. With prosthetic heart valve on warfarin and developed ich and INR on admission 8. Whow we manage?

Difficuly situation. Which valve is it. If it is mitral you have to correct coaguloapthy. You must get input from a neurosurgeon, a cardiologist and your primary care. Read more...
Complex problem. This is a serious situation. An inr of 8 (normal in the U.S. Being 1.0-1.2) is excessively high. The most life-threatening issue at this juncture is the ich and expansion of it. That needs to be corrected or at least lowered in an ICU setting. Once the ich is stabilized or operated upon one can then carefully re-institute the anti-coagulation . Read more...

Pat. With prosthetic heart valve on warfarin and developed ich. When and whow we return anticoagulant?

The risk of . Hemorrhage complications in the above setting is 1% per year. If ich occur the anticiagulation have to be reverse and most probably the clot evacuated. When to restart is controversial depending on the prosthetic valve(mitral vs aortic), atrial fibrillation, enlarge atrial chamber and systolic ventricular dysfunction. Each case is different but up to 14 days may be safe. Neuro and cardiac follow. Read more...
Anticoagulation. This is a more complex issue than what can be covered here. An intracerebral hemorrhage while on warfarin is an emergency, and reversal of the anticoagulant is essential. Restarting anticoagulant for prosthetic valve protection can only be done when the neurosurgeon is confident that the bleeding in the brain has been adequately stopped and the risk for re-bleeding has been controlled. Read more...

Pat. With mitral prosthetic heart valve and develope sah. When we restart anticoagulant and we start by lmwh or warfarin?

No good answer. I'm presuming sah is "subarachnoid hemorrhage". The answer depends on if the mitral valve is bioprosthetic or mechanical (i presume mechanical in a 36 yo) and if the rhythm is sinus or atrial fib (common in this setting). There are no controlled trials to guide this. There is no right answer. Be guided by the cardiologist's experience that you know and trust.Good luck with this difficult situation. Read more...

Warfarin user refused neck surgery too dangerous need warfarin friendly pain management medicine artificial aorotic heart valve?

Second Opinion. This is not an unusual problem. You cam be transitioned to another anti-coagulant with the help of your cardiologist prior to the operation. The surgeon can then do the surgery and you can be placed back on your coumadin (warfarin). Discuss with your cardiologist about recommendations for another surgeon. Read more...
Varies. Most of the time, a warfarin friendly pain medication means avoiding pain medications that do not also cause further anticoagulation of your blood. You would definitely want to check with your doctor, but usually this means to avoid non steroidal anti inflammatories in favor of tramadol or narcotic pain medications. Thank you for your question. Read more...

Is there any use of warfarin during pregnancy other than having a mechanical heart valve for a pregnant patient?

No. Coumadin (warfarin) is useful for deep vein thrombosis, some coagulopathies, and mechanical, heart vales and atrial fibrillation it has side effects for pregnancy and most will be switched to Heparin depending on the indication. Read more...
Some. Warfarin use during pregnancy should be used very carefully as it is believed to contribute to birth defects. Blood thinners may be indicated in pregnancy for other things like dvt. Read more...

I take daily warfrin for my mechanical heart valve and have never had any issues..... I want a full set of dental implants.... What do I need to know?

Bridge therapy. Dental specialist won't pull your teeth and perform implants on warfarin therapy; risk/incidence of gum/jaw bleeding too high. Heart doctor won't want you off warfarin therapy; risk of clotting with mechanical valve too high. Bridge therapy, which your doctor or anticoagulation clinic can provide, will keep you safe on both issues. Good luck and great question. Read more...
Seek consultation. Before havin dental implants placed you will need to have a consultation with both the dental professional who will be placing the implants as well as your cardiologist. It is important that these two doctors consult with one another concerning your treatment. You will possibly need to be taken of of your warfarin therapy prior to any dental surgical procedure. Read more...
Considerations. Just because you are currently on warfarin doesn't mean that you can't have implant or oral surgery procedures safely in an office setting. Your surgeon will work closely with your cardiologist to safely adjust medications for a short time. Typically an inr of 2-2.5 is acceptable ranges for operating without risks of bleeding. Your cardiologist will let you know what is a safe range for you. Read more...
Coumadin (warfarin) level. It depends on your Coumadin or warfarin levels. If your inr is in the 2.5 range or lower then you should not have any serious bleeding issues from the dental implant surgery. However, your md will have to manage your Coumadin before, during and after the surgery. Read more...
Team approach. See a prosthodontist for consultation. You will be best served if all dental treatment can be done in one place. That is, extractions, implant placement and teeth restored in same location. Not always possible, but there are centers that do this. Ours is in king of prussia , pa. You may have one near you in wa. The treatment must be done in conjunction with the recommendations of your M.D.. Read more...
Your MD decides. How to manage your daily (warfrin) medication and be premedicated with antibiotics are decisions to be made by your physician, in consultation with the dentist who is placing the dental implants. Read more...
INR under 2.5. Many people live taking blood thinners daily and have full and complete lives. I would first consult with the md who prescribed the blood thinners as to what are their instructions in preparation for dental implant surgery. Most dental professionals who surgically place implants are comfortable doing oral surgery if your inr is 2.5 or lower. Have your doctors coordinate and your care will be a-ok! Read more...
Tall to your MD. Your medical doctor will tell you when to stop taking warfarin, and when to start taking warfarin again; if you are considering dental implants. Read more...
Ask your physician. It is the decision of the doctor who put you on warfarin to determine if you can be off of it for a few days before implant placement. Read more...
Medical clearence. Your dentist will need to speak with your physician to review a protocol for your specific heart issues. You will need to have some pre op medical tests to determine bleeding times whether you can come off your Coumadin (warfarin) and how far ahead of the procedure you need to come off it. Read more...