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AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2024 Issue 2; Ask the Editor

Deep Brain Stimulation with Placement of Extension Wire During Insertion of Implantable Pulse Generator

A patient with Parkinson’s disease presents for stage II deep brain stimulation system implantation (generator implantation and lead attachment). The patient is status post stage I of the procedure in which the deep brain stimulator lead was implanted in the brain for later attachment to the extension connector and the generator. During surgery, a pocket was made at the pectoralis muscle. An incision was made behind the ear and tunneled to a subclavicular incision. The previously inserted lead was externalized, attached to the extension connector, and passed through subcutaneous tunneling tubes to be brought out at the subclavicular incision. The wire was then coiled deep to the implantable pulse generator and the generator was placed in the subpectoralis pocket. What is the code assignment for placement of the extension wire or is it inherent to insertion of the pulse generator? ...

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