AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 2; Ask the Editor
Pacing Lead Attached to Automatic Implantable Cardioverter Defibrillator
The patient presented for replacement of an automatic implantable cardioverter defibrillator (AICD) with insertion of a CapSureFix Novus right atrial lead. According to device data, the CapSureFix Novus lead is classified as a cardiac pacemaker lead. What is the correct device value for insertion of a CapSureFix Novus right atrial lead when it is connected to a defibrillator? ...
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Article Overview
This coding article addresses an ICD-10-PCS question involving an automatic implantable cardioverter defibrillator replacement with insertion of a right atrial lead. It is intended for inpatient coders and other healthcare coding professionals who need guidance on device classification, procedure coding, and documentation interpretation for cardiac device procedures.
Why This Topic Matters
Correctly identifying the device category in cardiac implantable device procedures is important for accurate procedure coding and consistent reporting. This article is relevant when device manufacturer terminology and the actual implanted system configuration do not appear to align.
What You Will Learn
- How a cardiac lead associated with an implantable defibrillator is discussed in the context of ICD-10-PCS
- How device classification affects procedure coding for cardiac implantable device procedures
- How documentation and device data are considered in interpreting the procedure type at a high level
- How the article frames the coding question for a right atrial lead in a defibrillator system
Who Should Read This
- Inpatient coders
- Health information management professionals
- Coding auditors
- Clinical documentation specialists
Codes Discussed
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