Insertion of Antimicrobial Envelope

Effective October 1, 2011, a new code has been created to describe the insertion of an antimicrobial envelope (17.81). The antimicrobial envelope is a large-poresurgical mesh envelope that holds a pacemaker, cardiac resynchronization device, or implantable cardioverter defibrillator (ICD). The surgical mesh contains anti-bacterial agents to help provide protection from microbial colonization of the device during and immediately after placement. The envelope consists of polypropylene filaments coatedwith a bio-reabsorbable polymer of the amino acid tyrosine,which breaks down by means of hydrolysis and releases two antimicrobials,minocycline and rifampin, over 7 to 10 days. The envelope has two...

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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 covers a newly created ICD procedure code for insertion of an antimicrobial envelope and explains its relationship to cardiovascular implantable electronic device procedures. It is aimed at coding professionals who need to understand the scope of the new code, the related primary procedure categories, and how the topic is presented in an example case.

Why This Topic Matters

It helps coders recognize when the additional procedure code applies and understand the broader context of the device-related procedure family without relying on the full premium article.

Article Sections

  1. New subcategory 17.8 Other adjunct procedures

    Introduces the new adjunct-procedure subcategory and its general purpose within device-related procedure reporting.

  2. New code 17.81 Insertion of antimicrobial envelope

    Describes the new code and its placement in relation to cardiovascular implantable electronic device procedures.

  3. Clinical example and coding summary

    Presents a short example case involving a device implantation scenario and a sample coding summary.

What You Will Learn

  • The general purpose of the new adjunct procedure category
  • How the article situates the new antimicrobial envelope code within device-related reporting
  • The type of case example used to illustrate the topic
  • Which broader procedural family the article links to the new code

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance staff
  • Revenue cycle professionals
  • Clinical documentation specialists

Codes Discussed

  • ICD-9-CM Procedure: 17.81
  • ICD-9-CM Procedure: 17.8
  • ICD-9-CM Procedure: 37.70
  • ICD-9-CM Procedure: 37.71
  • ICD-9-CM Procedure: 37.72
  • ICD-9-CM Procedure: 37.73
  • ICD-9-CM Procedure: 37.80
  • ICD-9-CM Procedure: 37.81
  • ICD-9-CM Procedure: 37.82
  • ICD-9-CM Procedure: 37.83
  • ICD-9-CM Procedure: 00.51
  • ICD-9-CM Procedure: 00.53
  • ICD-9-CM Procedure: 00.54
  • ICD-9-CM Procedure: 37.94
  • ICD-9-CM Procedure: 37.96
  • ICD-9-CM Procedure: 37.98
  • ICD-9-CM Diagnosis: 427.81

Code Ranges Discussed

  • ICD-9-CM Procedure: 17.8
  • ICD-9-CM Procedure: 37.70-37.73
  • ICD-9-CM Procedure: 37.80-37.83

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