AHA Coding Clinic® for ICD-9 - 2009 Issue 2; Clarifications

Induction of Ventricular Tachycardia and Ventricular Fibrillation

A patient with non-ischemic cardiomyopathy underwent implantation of a biventricular defibrillator. During the procedure, after placement of the device, testing was carried out and ventricular fibrillation (VF) was induced. Shock on T was performed and VF induced; 12 joules were delivered with restoration of sinus rhythm. Coding Clinic has previously provided advice for coding inducible ventricular tachycardia during electrophysiologic (EP) study. However, this scenario was not addressed. Is induced ventricular fibrillation a reportable diagnosis when it is performed at the time of surgery in order to test the device? ...

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