AHA Coding Clinic® for ICD-9 - 2012 Issue 2; Ask the Editor
Biventricular Defibrillator Lead Reconnection
The patient, who is status post placement of an implantable cardioverter defibrillator (ICD), is admitted to the hospital for upgrade to biventricular defibrillator because the Food and Drug Administration (FDA) recalled his existing right ventricular lead and he has been experiencing multiple shocks. The surgeon upgraded the device to a biventricular defibrillator. The right ventricular lead was reintroduced and repositioned until pacing thresholds were acceptable. Is it appropriate to assign code 37.75, Revision of lead [electrode], as an additional code for the lead revision? ...
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Article Overview
This article reviews a cardiology/inpatient coding scenario involving an ICD upgrade to biventricular defibrillator therapy after a recalled lead issue. It focuses on how the procedure is characterized in coding terms and why an additional procedure code may be considered, making it relevant for facility coders, coding educators, and audit/review staff working with device-related procedures.
Why This Topic Matters
Device upgrade cases can involve multiple procedure components that affect coding completeness and claim accuracy. Understanding how the article frames lead repositioning within the broader procedure helps coders review similar operative reports and documentation.
What You Will Learn
- How the article frames a biventricular defibrillator upgrade scenario
- How lead repositioning is discussed in the context of device-related coding
- What general coding issue is raised by the hospital admission and procedure description
- Why the scenario may require review of more than one procedure component
Who Should Read This
- Hospital coders
- Coding auditors
- Coding educators
- Clinical documentation improvement staff
- Cardiology revenue cycle staff
Codes Discussed
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