AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2026 Quarter 1; Section 0 - Medical and Surgical
Insertion into Ventricular Septum
A patient with heart failure with reduced ejection fraction (HFrEF) and left bundle branch block (LBBB) underwent insertion of a cardiac resynchronization defibrillator (CRT-D). After the pocket was fashioned for the pulse generator, the right ventricular lead was positioned in the right ventricular septum percutaneously, where the helix was deployed. A delivery sheath was advanced, and the pace sense lead was brought to the interventricular septum and deployed to deliver left ventricular pacing. Another sheath was advanced, and the right atrial pace sense lead was deployed to the right atrial appendage. The pulse generator was connected to the leads. What are the appropriate code assignments for the insertion of the three leads placed into the right ventricular septum, interventricular septum, and right atrial appendage? ...
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Article Overview
This premium article covers an ICD-10-PCS table update for heart and great vessel insertion procedures and a related scenario involving cardiac device lead placement. It is intended for medical coders and coding professionals who need to understand the scope of the update, the affected body part and device categories, and the type of procedural scenario discussed. The article presents background, the updated table context, and a worked clinical example tied to the coding topic.
Why This Topic Matters
Changes to procedure tables and device placement terminology can affect how cardiac insertion procedures are interpreted and coded. This article helps readers identify whether the topic applies to device-related heart procedures and coding work involving ventricular septum placement.
Article Sections
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ICD-10-PCS Table 02H Update
Introduces the procedure table update and the affected body part and device categories for heart and great vessel insertion procedures.
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Ventricular Septum and Ventricular Septal Pacing
Provides background on the anatomic location and the broader clinical context for septal pacing.
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Clinical Example
Presents a cardiac resynchronization device scenario involving multiple lead placements and a coding question tied to the article topic.
What You Will Learn
- How the article frames an ICD-10-PCS update for heart and great vessel insertion procedures
- What broader clinical context is associated with ventricular septum pacing
- How the article relates the update to a multi-lead cardiac device procedure example
- Which types of coding professionals would find the topic relevant
Who Should Read This
- Inpatient coders
- ICD-10-PCS coding professionals
- Cardiology coding staff
- Clinical documentation specialists
Codes Discussed
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