AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2026 Issue 1; Section 0 - Medical and Surgical
Insertion into Ventricular Septum
In table 02H, Insertion of Heart and Great Vessels, body part value M Ventricular Septum, was added to the device values J Pacemaker Cardiac Lead, K Defibrillator Cardiac Lead, M Cardiac Lead, N Intracardiac Pacemaker, and Y Other device, for the approach value 3 Percutaneous.Body Part Approach Device Qualifier M Ventricular Septum 3 Percutaneous J Cardiac Lead, Pacemaker K Cardiac Lead, Defibrillator M Cardiac Lead N Intracardiac Pacemaker Y Other Device Z No Qualifier The ventricular septum is the muscular wall that divides the right and left ventricles. Ventricular septal pacing refers to inserting a pacing lead into...
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Article Overview
This premium article covers an ICD-10-PCS table update for heart and great vessel insertion procedures and a related scenario involving cardiac device lead placement. It is intended for medical coders and coding professionals who need to understand the scope of the update, the affected body part and device categories, and the type of procedural scenario discussed. The article presents background, the updated table context, and a worked clinical example tied to the coding topic.
Why This Topic Matters
Changes to procedure tables and device placement terminology can affect how cardiac insertion procedures are interpreted and coded. This article helps readers identify whether the topic applies to device-related heart procedures and coding work involving ventricular septum placement.
Article Sections
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ICD-10-PCS Table 02H Update
Introduces the procedure table update and the affected body part and device categories for heart and great vessel insertion procedures.
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Ventricular Septum and Ventricular Septal Pacing
Provides background on the anatomic location and the broader clinical context for septal pacing.
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Clinical Example
Presents a cardiac resynchronization device scenario involving multiple lead placements and a coding question tied to the article topic.
What You Will Learn
- How the article frames an ICD-10-PCS update for heart and great vessel insertion procedures
- What broader clinical context is associated with ventricular septum pacing
- How the article relates the update to a multi-lead cardiac device procedure example
- Which types of coding professionals would find the topic relevant
Who Should Read This
- Inpatient coders
- ICD-10-PCS coding professionals
- Cardiology coding staff
- Clinical documentation specialists
Codes Discussed
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