AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2015 Issue 2; Ask the Editor
Leadless Pacemaker Insertion
A 70-year-old male with first and second degree atrioventricular (AV) blocks as well as right bundle branch block presents for insertion of a leadless pacemaker. A leadless pacemaker was inserted via catheter under fluoroscopic guidance into the right ventricle. The ICD-10-PCS does not provide a value for leadless pacemaker. How should this procedure be coded? ...
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Article Overview
This short coding article is focused on ICD-10-PCS procedure coding for leadless pacemaker insertion. It explains the general issue that arises when a newer technology does not map cleanly to an existing device value and describes the coding framework used for the case. The piece is relevant to inpatient coders, HIM professionals, and anyone working with cardiac device procedures and ICD-10-PCS procedure assignment.
Why This Topic Matters
Leadless pacemakers are a newer cardiac technology, and coders need to understand how such procedures are represented in ICD-10-PCS when a dedicated device value is not listed. This article helps readers identify the proper inpatient coding context for these procedures.
What You Will Learn
- How this leadless pacemaker procedure is framed in ICD-10-PCS
- How newer cardiac device technology is handled in inpatient procedure coding
- What coding topic is illustrated by the example case provided in the article
- The type of coding guidance associated with a leadless pacemaker insertion scenario
Who Should Read This
- Inpatient coders
- HIM professionals
- Coding auditors
- Clinical documentation specialists
Codes Discussed
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