AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Quarter 4; New/Revised ICD-10-PCS Procedure Codes, Section 0-Medical and Surgical
Intracardiac Pacemaker
A patient with unexplained syncope, who had recently undergone single-chamber leadless pacemaker implant insertion, presents for repositioning of the pacemaker. The right femoral vein was re-accessed with wire insertion into the inferior vena cava. The device was grasped and re-positioned in an apical septal position 1 mm to the right of the original position. What is the appropriate ICD-10-PCS code assignment for repositioning of a leadless pacemaker? ...
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Article Overview
This premium article covers an ICD-10-PCS device value update for intracardiac pacemakers, including how the new device concept relates to leadless and transcatheter pacemakers. It also outlines the affected procedure code tables and presents a repositioning scenario to illustrate the related coding topic for hospital coders, CDI staff, and reimbursement professionals working with cardiovascular procedures.
Why This Topic Matters
Device updates in ICD-10-PCS can affect procedure table construction and code assignment for cardiovascular interventions. Understanding the scope of the change helps coding staff recognize when leadless pacemaker procedures may fall under updated heart and great vessel tables.
Article Sections
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Device
Introduces the device update and places it in the context of pacemaker technology and related cardiovascular procedures.
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Procedure code table impact
Identifies the affected ICD-10-PCS procedure code tables for heart and great vessel interventions.
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Coding scenario and code assignment
Presents a repositioning scenario and discusses the related ICD-10-PCS assignment context for leadless pacemaker procedures.
What You Will Learn
- How the article frames the new intracardiac pacemaker device value
- Which ICD-10-PCS procedure table areas are affected by the update
- What type of cardiovascular scenario is used to illustrate the coding topic
- How the article positions the discussion for ICD-10-PCS procedure assignment review
Who Should Read This
- Hospital coders
- ICD-10-PCS coding specialists
- Clinical documentation integrity professionals
- Reimbursement and revenue cycle staff
- Cardiovascular procedure coders
Codes Discussed
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