AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2025 Issue 4; ICD-10-PCS New/Revised Codes Section X—New Technology
Insertion of Implantable Endocardiac Pacing System
In table X2H, Insertion of Cardiovascular System, device value 7 Endocardiac Pacing Electrode, and body part value N Left Ventricle, were added to capture the insertion of an endocardial pacing system.Body Part Approach Device/Substance/Technology Qualifier N Ventricle, Left 3 Percutaneous 7 Endocardiac Pacing Electrode B New Technology Group 11 The system is used in conjunction with a previously placed right ventricular stimulation system to provide left ventricular endocardial pacing (LVEP) without the use of wires or leads. A transmitter is placed in the intercostal space to send ultrasound energy that converts into electric energy that paces the left...
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Article Overview
This article covers a New Technology coding update in ICD-10-PCS for an implantable endocardiac pacing system, including the body system, device, approach, and qualifier values involved. It is aimed at coders and reimbursement professionals who need to understand how the update is structured and where it applies within the ICD-10-PCS framework. The discussion focuses on the newly added table entries, the clinical context for the technology, and the related component insertion described in the article.
Why This Topic Matters
New Technology coding updates can affect how emerging procedures and devices are represented in claims and medical records. Understanding the structure of the update helps coding teams recognize when the new ICD-10-PCS entries may be relevant.
Article Sections
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Insertion of Cardiovascular System
This section describes a New Technology update involving cardiovascular system coding and the associated device and body part values. It provides the general clinical context for the implantable pacing system.
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New Technology Section X
This section covers a related New Technology insertion entry for the skin and subcutaneous tissue body system. It outlines the component placement referenced in the update and its table structure.
What You Will Learn
- How the article frames a New Technology ICD-10-PCS update
- Which body systems are affected by the update
- How the article organizes the related device and approach entries
- The clinical context for an implantable endocardiac pacing system
- How the related transmitter and battery component is presented in the update
Who Should Read This
- Medical coders
- Inpatient coding specialists
- CDI professionals
- Revenue cycle staff
- Health information management professionals
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