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AHA Coding Clinic® for ICD-9 - 2006 Issue 2; Ask the Editor
Pacemaker-Mediated Tachycardia
A 31-year-old patient was admitted with ventricular tachycardia and sharp substernal chest pain. He has a dual-chamber pacemaker, which was placed two years ago due to symptomatic bradycardia with a heart rate as low as 19 beats per minute. Physician documentation shows pacemaker-mediated tachycardia. The pacemaker ventriculoatrial blanking period was reprogrammed to prevent ventriculoatrial conduction. What is the diagnosis code assignment for pacemaker-mediated tachycardia?
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