AHA Coding Clinic® for ICD-9 - 2012 Issue 4; Ask the Editor

Placement of Subcutaneous Implantable Cardioverter Defibrillator

What is the appropriate procedure code assignment for implantation, replacement, or revision of a totally subcutaneous implantable defibrillator system? The subcutaneous implantable cardioverter defibrillator is prescribed to control a patient’s cardiac arrhythmias. The system detects activity of the heart and delivers defibrillation therapy by sending an electric shock to the heart if the heart’s rhythm is abnormal. Unlike currently used ICDs, both the generator and electrode are implanted subcutaneously. There are no leads actually placed into the heart. Since the system is totally subcutaneous, there is no need for vascular access and its related complications. ...

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