AHA Coding Clinic® for ICD-9 - 2011 Issue 4; Volume 3 New/Revised Codes

Insertion of Antimicrobial Envelope

Effective October 1, 2011, a new code has been created to describe the insertion of an antimicrobial envelope (17.81). The antimicrobial envelope is a large-poresurgical mesh envelope that holds a pacemaker, cardiac resynchronization device, or implantable cardioverter defibrillator (ICD). The surgical mesh contains anti-bacterial agents to help provide protection from microbial colonization of the device during and immediately after placement. The envelope consists of polypropylene filaments coatedwith a bio-reabsorbable polymer of the amino acid tyrosine,which breaks down by means of hydrolysis and releases two antimicrobials,minocycline and rifampin, over 7 to 10 days. The envelope has two...

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