Wireless Stimulation Endocardially for Cardiac Resynchronization (WiSE®-CRT) System

A patient with nonischemic cardiomyopathy, chronic atrial fibrillation, chronic systolic and diastolic congestive heart failure, and complete atrioventricular block, was admitted for a two-day pacemaker upgrade to a Wireless Stimulation Endocardially for Cardiac Resynchronization (WiSE®-CRT) System. The system consists of an ultrasound transmitter and battery, which is placed in a pocket in the subcutaneous tissue. The other component, the receiver electrode, which is the size of a grain of rice, is implanted into the left ventricle. This is a leadless device that stimulates the left ventricle to improve ejection fraction. What are the correct codes to assign for the placement of the WiSE®-CRT transmitter system and leadless left ventricle pacemaker? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a cardiac device procedure involving a wireless stimulation system for resynchronization therapy and focuses on how the implanted components are represented in procedure coding. It is aimed at coders, billers, and reimbursement professionals who work with cardiac electrophysiology, device implantation, and inpatient procedure coding. The discussion is centered on identifying the appropriate procedure coding framework for the transmitter system and the leadless left ventricular pacing component.

Why This Topic Matters

Accurate reporting of novel cardiac device procedures depends on understanding how the implanted system is described in procedure coding terms. This topic is relevant for facilities and coding staff handling complex pacemaker-related upgrades and device implant cases.

What You Will Learn

  • How a wireless cardiac resynchronization system is described in a coding context.
  • What components are involved in a leadless left ventricular pacing procedure.
  • Which procedure coding area is relevant for this type of cardiac device placement.
  • How the case is framed for assigning procedure codes.

Who Should Read This

  • Inpatient coders
  • Cardiology coding staff
  • Facility reimbursement staff
  • Health information management professionals

Codes Discussed

  • ICD-10-PCS: 0JH6

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