AHA Coding Clinic® for ICD-9 - 2006 Issue 4; VOLUME 3 NEW/REVISED CODES

Noninvasive Programmed Electrical Stimulation (NIPS)

Effective October 1, 2006, a new code 37.20 has been created to identify noninvasive programmed electrical stimulation (NIPS). Prior to this time, NIPS was indexed to code 37.26. NIPS is a type of electrophysiological study that uses a device that is already implanted, such as an implantable cardiac defibrillator. Arrhythmia is induced with the pulse generator via telemetry signals in order to assess the adequacy of the device and program it optimally, or to assess the effectiveness of drug therapy. Although it is noninvasive in that no catheters are inserted into the heart, it requires the ability...

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