AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 4; New/Revised ICD-10-PCS Codes Section X – New Technology
Dual-Chamber Leadless Intracardiac Pacemaker
In table X2H, Insertion of Cardiovascular System, body part values 6 Atrium, Right and K Ventricle, Right were added with device value V Intracardiac Pacemaker, Dual-Chamber, to create codes for the placement of a dual-chamber leadless pacemaker in the right atrium and in the right ventricle.Body Part Approach Device/ Substance/ Technology Qualifier 6 Atrium, Right K Ventricle, Right 3 Percutaneous V Intracardiac Pacemaker, Dual-Chamber 9 New Technology Group 9 The dual-chamber leadless pacemaker system consists of two screw-in devices that are implanted directly into the interior wall of the heart through a minimally invasive catheter-based approach. Under fluoroscopic...
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Article Overview
This article covers an ICD-10-PCS coding update for a dual-chamber leadless intracardiac pacemaker and outlines the general clinical context for the device system. It is intended for coding professionals and others who track inpatient procedure code changes, particularly those involving cardiovascular system procedures and new technology groupings. The article focuses on the table revision, the affected heart chambers, and the broader characteristics of the leadless pacing system without providing detailed coding guidance.
Why This Topic Matters
Understanding this update helps readers recognize when the inpatient procedure code set includes a specific option for dual-chamber leadless pacing. It is relevant for keeping hospital coding resources current with cardiovascular technology changes.
Article Sections
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ICD-10-PCS table update
Summarizes the table revision within the cardiovascular insertion section and the addition of a new technology grouping. The section places the update in the context of inpatient procedure coding.
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Dual-chamber leadless pacemaker system overview
Describes the general design and implantation approach of the leadless pacing system. It also notes the relationship between the two implanted devices and the broader clinical setting.
What You Will Learn
- What area of the inpatient procedure code set is affected by the update
- How the article frames the dual-chamber leadless pacemaker system
- Which general anatomic areas are involved in the described placement
- Why the update is relevant for cardiovascular procedure coding
Who Should Read This
- Inpatient coding professionals
- Hospital CDI staff
- Coding educators
- Revenue cycle teams
- Healthcare compliance staff
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