AHA Coding Clinic® for HCPCS - 2014 Issue 3; Ask the Editor

Insertion of leadless cardiac pacemaker

A patient presents to have a leadless cardiac pacemaker inserted. This device is inserted percutaneously (steerable catheter) through the femoral vein and implanted into the right ventricle. This is a single-chamber pacemaker with a screw-in fixation mechanism and paces the heart with a steroid-eluting electrode. The pacemaker does not need a subcutaneous pocket created or leads from the device to the heart. Since the leadless pacemaker is not considered a traditional pacemaker insertion, what CPT code(s) would be appropriately reported for this procedure? ...

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