AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 2; Ask the Editor

Temporary-Permanent Pacemaker Placement

A patient had transcatheter aortic valve replacement (TAVR) for aortic stenosis. Following the TAVR procedure, the patient developed a complete heart block and junctional bradycardia. A temporary-permanent (T-P) pacemaker was placed into the right ventricle (RV), and was removed percutaneously a day later. The T-P pacemaker placement involved insertion of a fixated lead, unlike temporary transvenous pacemaker placement. Would an additional code be assigned for the lead insertion? What ICD-10-PCS code(s) are assigned? ...

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