Phrenic Neurostimulator

The patient has central sleep apnea and a phrenic neurostimulator was recommended. At surgery, the generator was placed in a subcutaneous pocket dissected in the upper chest. One end of the sensing lead was advanced into the azygos vein and the other end was tunneled under the skin to the generator pocket. Similarly, one end of the stimulation lead was advanced into the left pericardiophrenic vein and the other end was tunneled under the skin to the generator pocket. The leads were then connected to the generator and the pocket was closed. How is this procedure coded?    ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers ICD-10-PCS updates for phrenic neurostimulator procedures, with emphasis on newly supported upper vein body part and device values and the procedure tables affected by the change. It is intended for coding professionals who need to understand how these updates relate to phrenic neurostimulator systems, associated anatomy, and the broader coding context for insertion, removal, and revision procedures.

Why This Topic Matters

Phrenic neurostimulator procedures involve multiple implanted components and updated ICD-10-PCS table structure, so accurate interpretation of the change affects procedure coding for related upper vein interventions.

What You Will Learn

  • What ICD-10-PCS table updates were made to support phrenic neurostimulator procedures.
  • Which upper vein procedure tables are impacted by the update.
  • How the article frames the components and anatomy involved in phrenic neurostimulator systems.
  • How the update relates to insertion, removal, and revision procedures in general terms.

Who Should Read This

  • Medical coders
  • Coding educators
  • Revenue cycle professionals
  • Clinical documentation staff

Code Ranges Discussed

  • ICD-10-PCS: 05H
  • ICD-10-PCS: 05P
  • ICD-10-PCS: 05W

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