AHA Coding Clinic® for ICD-9 - 2001 Third Quarter
Cardiac Resynchronization Therapy Defibrillator
Cardiac Resynchronization Therapy Defibrillators (CRT-Ds) are designed to treat dysfunctional ventricular contractions and ventricular tachyarrythmias, common in patients with heart failure. The following paragraphs highlight some of the important procedural and therapeutic differences between conventional automatic implantable cardioverter defibrillators (AICDs) and CRT-Ds. Note: For more information on CRT, see Coding Clinic, Fourth Quarter 2002 pgs. 95-101. Automatic implantable cardioverter defibrillators Figure 1 - AICD placement Cardiac resynchronization therapy defibrillators Figure 2 - CRT-D placement Coding of biventricular AVICD Implantation of biventricular pacemaker/ ICD Implantation of advanced defibrillators Upgrade of implantable cardioverter/defibrillator Upgrade of ICD to CRT-D Conventional Automatic Implantable...
Subscribe or sign in to view the full article.
Article Overview
This article covers cardiac resynchronization therapy defibrillator implantation in the context of heart failure care and compares it with conventional automatic implantable cardioverter defibrillator procedures. It is relevant to inpatient and facility coders, coding educators, and cardiovascular documentation reviewers who need to understand how the procedure is discussed in coding guidance. The article also points to Coding Clinic material and describes the general procedural setup, device components, and related implantation concepts.
Why This Topic Matters
CRT-D procedures involve specialized cardiac device implantation that may be documented differently from conventional defibrillator procedures. Understanding the scope of the article helps coders and reviewers identify when the material applies to device implantation cases and related coding references.
Article Sections
-
Overview of CRT-Ds and comparison with AICDs
Introduces the device type and frames the discussion around differences between resynchronization therapy defibrillators and conventional implantable defibrillators.
-
Conventional Automatic Implantable Cardioverter Defibrillators (AICDs)
Describes the conventional device category and the general procedural setup used for implantation.
-
Cardiac Resynchronization Therapy Defibrillators (CRT-Ds)
Covers the resynchronization therapy device, its general implantation features, and how it is positioned within the broader cardiac device discussion.
-
Clinical example: implantation of a biventricular AVICD
Presents a short case scenario involving a biventricular device and asks for the appropriate coding assignment.
What You Will Learn
- How the article frames CRT-D procedures relative to conventional cardiac defibrillator implantation
- What broad procedural components are discussed for cardiac device implantation
- What kinds of Coding Clinic references and clinical scenarios are included in the article
- How the article situates biventricular device implantation within the cardiac coding discussion
Who Should Read This
- Inpatient coders
- Facility coders
- Coding educators
- Clinical documentation specialists
- Cardiovascular coding reviewers
Codes Discussed
Code Ranges Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com