Carotid Sinus Baroreflex Activation Device

Effective October 1, 2010, codes have been created for the implantation of carotid sinus baroreflex activation device. The baroreflex system is the system that helps regulate cardiovascular function. The carotid sinus baroreflex activation system is currently the only surgical procedure that implants a medical device to treat patients with primary hypertension. It consists of an implantable pulse generator, bilateral carotid sinus leads and a computer programming system. The pulse generator is placed in a subcutaneous pocket in the pectoral region below the collar bone. Electrodes are placed bilaterally on the carotid sinuses, which are two main blood pressure control...

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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 explains a set of procedure code updates related to carotid sinus baroreflex activation device services. It is useful for coding professionals who need to understand how the coding structure changed, what broad procedure categories are included, and how the topic relates to device implantation, revision, and removal in the setting of hypertension care. The article also includes a brief coding example and references the diagnosis coding context used for a patient encounter.

Why This Topic Matters

Code updates for emerging device procedures can affect how facilities and physicians report implantation, replacement, revision, and removal services. Understanding the scope of these changes helps coders and auditors locate the correct category and recognize the relevant clinical setting.

Article Sections

  1. Clinical background

    Provides a high-level explanation of the device, the anatomy involved, and the general purpose of the therapy.

  2. ICD-9-CM code changes for carotid sinus operations

    Summarizes the newly added and revised procedure code structure for operations involving the carotid sinus and related vascular bodies.

  3. Patient coding example

    Presents a brief encounter scenario illustrating how the article applies the code set changes in a clinical context.

What You Will Learn

  • The general purpose of carotid sinus baroreflex activation therapy
  • How the article organizes the related ICD-9-CM procedure categories
  • What broad types of device services are addressed by the code updates
  • How the article frames a coding example involving hypertension and device care

Who Should Read This

  • Medical coders
  • Coding auditors
  • Physician billing staff
  • Health information management professionals

Codes Discussed

  • ICD-9-CM: 39.8
  • ICD-9-CM: 39.81
  • ICD-9-CM: 39.82
  • ICD-9-CM: 39.83
  • ICD-9-CM: 39.84
  • ICD-9-CM: 39.85
  • ICD-9-CM: 39.86
  • ICD-9-CM: 39.87
  • ICD-9-CM: 39.88
  • ICD-9-CM: 39.89
  • ICD-9-CM: V53.39
  • ICD-9-CM: 401.9

Code Ranges Discussed

  • ICD-9-CM: 39.81-39.89

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