AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 4; New/Revised ICD-10-PCS Procedure Codes, Section 0-Medical and Surgical
Intracardiac Pacemaker
A new Device value was added for a novel type of pacemaker. Intracardiac pacemakers are also known as “leadless” pacemakers and “transcatheter” pacemakers. Device N Intracardiac Pacemaker Pacemakers treat slow heart rates, such as bradycardia, sick sinus syndrome, and atrioventricular heart blocks. Conventional pacemaker devices require two components: a generator in a subcutaneous pocket on the chest plus a lead or leads tunneled below the skin and advanced into one or more heart chambers. Intracardiac pacemakers treat the same conditions as conventional pacemakers, but the components are combined into a single device implanted within a heart...
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Article Overview
This premium article covers an ICD-10-PCS device value update for intracardiac pacemakers, including how the new device concept relates to leadless and transcatheter pacemakers. It also outlines the affected procedure code tables and presents a repositioning scenario to illustrate the related coding topic for hospital coders, CDI staff, and reimbursement professionals working with cardiovascular procedures.
Why This Topic Matters
Device updates in ICD-10-PCS can affect procedure table construction and code assignment for cardiovascular interventions. Understanding the scope of the change helps coding staff recognize when leadless pacemaker procedures may fall under updated heart and great vessel tables.
Article Sections
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Device
Introduces the device update and places it in the context of pacemaker technology and related cardiovascular procedures.
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Procedure code table impact
Identifies the affected ICD-10-PCS procedure code tables for heart and great vessel interventions.
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Coding scenario and code assignment
Presents a repositioning scenario and discusses the related ICD-10-PCS assignment context for leadless pacemaker procedures.
What You Will Learn
- How the article frames the new intracardiac pacemaker device value
- Which ICD-10-PCS procedure table areas are affected by the update
- What type of cardiovascular scenario is used to illustrate the coding topic
- How the article positions the discussion for ICD-10-PCS procedure assignment review
Who Should Read This
- Hospital coders
- ICD-10-PCS coding specialists
- Clinical documentation integrity professionals
- Reimbursement and revenue cycle staff
- Cardiovascular procedure coders
Codes Discussed
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