AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 3; Ask the Editor
Placement of Pacemaker Lead in Bundle of HIS
During pacemaker insertion, the provider’s documentation indicates both an atrial lead and a bundle of HIS lead were placed. What is the correct code assignment for a pacemaker lead inserted into the bundle of HIS? ...
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Article Overview
This article discusses how a pacemaker lead placement involving the bundle of His is handled in ICD-10-PCS coding. It is intended for coding professionals and anyone reviewing cardiac device procedure documentation, and it focuses on the absence of a unique code, the body-part selection issue, and the rationale used in the article.
Why This Topic Matters
Accurate procedure coding for specialized pacemaker lead placement depends on understanding how documented anatomy maps to available ICD-10-PCS options. This article helps readers identify the relevant code set and the type of documentation scenario covered.
What You Will Learn
- How this pacemaker lead placement scenario is addressed in ICD-10-PCS
- What kind of documentation detail is relevant to the coding question
- Why this topic requires consideration of available procedure code options
- How the article frames the anatomy involved in the procedure
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Revenue cycle professionals
- Cardiology coding staff
Codes Discussed
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