AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2026 Issue 1; Section X – New Technology
Insertion of Lumenless Small Diameter Defibrillator Lead
In table X2H, Insertion of Cardiovascular System, device value G Defibrillator Lead, Lumenless Small-diameter, was added to body part values M Ventricular Septum, and V Right Ventricle, for the approach value 3 Percutaneous. This addition captures the insertion of a lumenless small-diameter defibrillator lead into the ventricular septum and the right ventricle.Body Part Approach Device/Substance/Technology Qualifier M Ventricular Septum V Ventricle, Right 3 Percutaneous G Defibrillator Lead, Lumenless Small-diameter B New Technology Group 11 For example, the OmniaSecure™ MRI SureScan™ Lead is a lumenless catheter-delivered small-diameter defibrillation lead that is placed into the right ventricle or the right...
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Article Overview
This premium article covers a coding update in ICD-10-PCS for cardiovascular system lead insertion. It is relevant to hospital coders, CDI staff, and reimbursement professionals tracking procedure code set changes, body-part values, and new technology groupings tied to device insertion procedures. The article provides a focused overview of the table change, the procedure context, and an example of the type of device affected, without serving as a substitute for the full coding guidance.
Why This Topic Matters
Updates to procedure coding tables can affect accurate reporting of cardiovascular device insertion procedures and downstream data quality. Readers need to know what changed, which anatomical locations are affected, and how the update is framed within ICD-10-PCS and new technology reporting.
Article Sections
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Table X2H update
Describes the cardiovascular system table change and the affected body-part values associated with the insertion procedure update.
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Example device context
Provides a general example of a lumenless small-diameter defibrillation lead and the clinical context in which the device is used.
What You Will Learn
- The scope of the cardiovascular system procedure table update
- Which anatomical body-part values are affected
- How the article frames the related device insertion context
- The general role of the new technology grouping referenced in the update
Who Should Read This
- Medical coders
- Clinical documentation improvement specialists
- Health information management professionals
- Reimbursement and payment policy staff
- Cardiovascular procedure coding teams
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