AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2025 Issue 3; Ask the Editor
Temporary Transvenous Pacemaker Insertion
An 85-year-old patient with bradycardic cardiac arrest was taken to the cardiovascular procedure room for temporary transvenous pacemaker placement. The right subclavian vein was accessed under fluoroscopic guidance and a temporary transvenous pacemaker was inserted into the right ventricle. As planned, the temporary pacemaker was removed several days later.What is the appropriate ICD-10-PCS code for insertion and removal of a temporary transvenous pacemaker? ...
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Article Overview
This article discusses ICD-10-PCS coding for a temporary transvenous pacemaker case, including the procedure context and the related pacing services documented in the encounter. It is aimed at coders and revenue cycle professionals who need to understand how this type of cardiovascular procedure is represented in ICD-10-PCS and why the documentation matters for coding review.
Why This Topic Matters
Temporary pacing procedures can be documented in ways that require careful interpretation of the record and the available ICD-10-PCS structure. This article helps readers understand the coding scope of the encounter and the broader documentation considerations involved in reporting the service.
Article Sections
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Clinical scenario
A brief procedural scenario describes a cardiovascular intervention involving temporary pacing support and later device removal.
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ICD-10-PCS coding question
The article frames the central coding question for the encounter and identifies the relevant code set for the discussion.
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Coding guidance
The article summarizes the coding focus for the pacing service and notes the scope of available ICD-10-PCS reporting for the procedure type.
What You Will Learn
- How a temporary transvenous pacemaker encounter is framed for ICD-10-PCS review.
- What type of documentation context is relevant to pacing and device removal coding.
- How the article approaches the scope of ICD-10-PCS reporting for this procedure category.
- Which coding topic areas are addressed in the article.
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle staff
- Clinical documentation specialists
- Cardiovascular procedure coding staff
Codes Discussed
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