Correction - Bedside Evaluation of Implantable Cardioverter/Defibrillator (AICD)

Note: As of October 1, 2004, use code 89.49, Automatic implantable cardioverter/defibrillator (AICD) check for a bedside check of an AICD or CRT-D. After receiving additional information from clinicians, the response provided in First Quarter, Coding Clinic 2002, page 9, has been reevaluated. Code 37.26, Cardiac electrophysiologic stimulation and recording studies, should not be assigned for a bedside evaluation of an implantable automatic cardioverter/defibrillator (AICD). The bedside check of the AICD device is not the same as a cardiac electrophysiologic stimulation and recording study which is performed on a patient's heart. The AICD test is performed on...

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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 correction to prior coding guidance for bedside evaluation of an implantable cardioverter/defibrillator and references an ICD-9-CM code update timeline. It is relevant to coders, compliance staff, and clinicians who document device-related checks, especially when reviewing Coding Clinic guidance and CMS-related changes.

Why This Topic Matters

It helps readers understand that bedside device evaluation is addressed separately from other cardiac testing and highlights an official coding update affecting reporting practices.

Article Sections

  1. Note

    Introduces the correction and references the effective date tied to the bedside check of an implantable cardioverter/defibrillator or CRT-D.

  2. Coding Clinic 2002 reevaluation

    Summarizes the reevaluation of prior guidance and discusses the broader category of cardiac and vascular measurement reporting in relation to bedside device evaluation.

  3. CMS proposal and ICD-9-CM Coordination and Maintenance Meeting

    Describes the proposed creation of a unique code and notes the meeting and timing associated with that proposal.

  4. Bedside evaluation performed by device representative

    Provides a brief closing phrase indicating the type of bedside evaluation addressed in the article.

What You Will Learn

  • The scope of bedside evaluation guidance for implantable cardioverter/defibrillator checks
  • How the article frames a correction to earlier Coding Clinic advice
  • The relationship between the article and ICD-9-CM update activity involving CMS
  • The general documentation context for device-related bedside checks

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance professionals
  • Clinical documentation staff
  • Device clinic personnel

Codes Discussed

  • ICD-9-CM: 89.49
  • ICD-9-CM: 37.26
  • ICD-9-CM: 89.59

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