AHA Coding Clinic® for ICD-9 - 2001 Third Quarter
Cardiac Resynchronization Therapy Defibrillator
This patient is a 63-year-old man with a history of ischemic cardiomyopathy, coronary artery bypass grafting, and congestive heart failure, who is scheduled to undergo implantation of a biventricular AVICD. This procedure involves the implantation of three (3) leads [electrodes]. One lead is positioned in the coronary vein of the left ventricle. The other leads are positioned within the right atrium and right ventricle, similar to an automatic implantable cardioverter defibrillator (AICD). What is the appropriate code assignment for implantation of a biventricular AVICD? ...
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Article Overview
This article covers cardiac resynchronization therapy defibrillator implantation in the context of heart failure care and compares it with conventional automatic implantable cardioverter defibrillator procedures. It is relevant to inpatient and facility coders, coding educators, and cardiovascular documentation reviewers who need to understand how the procedure is discussed in coding guidance. The article also points to Coding Clinic material and describes the general procedural setup, device components, and related implantation concepts.
Why This Topic Matters
CRT-D procedures involve specialized cardiac device implantation that may be documented differently from conventional defibrillator procedures. Understanding the scope of the article helps coders and reviewers identify when the material applies to device implantation cases and related coding references.
Article Sections
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Overview of CRT-Ds and comparison with AICDs
Introduces the device type and frames the discussion around differences between resynchronization therapy defibrillators and conventional implantable defibrillators.
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Conventional Automatic Implantable Cardioverter Defibrillators (AICDs)
Describes the conventional device category and the general procedural setup used for implantation.
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Cardiac Resynchronization Therapy Defibrillators (CRT-Ds)
Covers the resynchronization therapy device, its general implantation features, and how it is positioned within the broader cardiac device discussion.
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Clinical example: implantation of a biventricular AVICD
Presents a short case scenario involving a biventricular device and asks for the appropriate coding assignment.
What You Will Learn
- How the article frames CRT-D procedures relative to conventional cardiac defibrillator implantation
- What broad procedural components are discussed for cardiac device implantation
- What kinds of Coding Clinic references and clinical scenarios are included in the article
- How the article situates biventricular device implantation within the cardiac coding discussion
Who Should Read This
- Inpatient coders
- Facility coders
- Coding educators
- Clinical documentation specialists
- Cardiovascular coding reviewers
Codes Discussed
Code Ranges Discussed
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