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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