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Download Implantable Cardioverter-Defibrillators
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2015 PROCEDURE CODE CROSSWALK: ICD-9-CM TO ICD-10-PCS ICD-9-CM IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS Implantation or Replacement of Total System 37.94 Implantation or replacement of automatic cardioverter/defibrillator, total system (AICD) ICD-10-PCS 02H63KZ plus 02HK3KZ plus/or 02HN0KZ 02HN4KZ plus 02PA0MZ 02PA3MZ 02PA4MZ 02PAXMZ plus 0JH608Z 0JH638Z 0JH808Z 0JH838Z plus 0JPT0PZ 0JPT3PZ Implantation or Replacement of epicardial lead 37.74 Insertion or replacement of epicardial lead (electrode) into epicardium Insertion of Other RA or RV Lead, Transvenous 37.95 Implantation of automatic cardioverter/defibrillator lead(s) only Insertion of Subcutaneous Defibrillator Lead 37.95 Implantation of automatic cardioverter/defibrillator lead(s) only Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Approach Insertion of Defibrillator Lead into Pericardium, Open Approach Insertion of Defibrillator Lead into Pericardium, Percutaneous Endoscopic Approach (for replacement) Removal of Cardiac Lead from Heart, Open Approach Removal of Cardiac Lead from Heart, Percutaneous Approach Removal of Cardiac Lead from Heart, Percutaneous Endoscopic Approach Removal of Cardiac Lead from Heart, External Approach Insertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Open Approach Insertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach (for replacement) Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach 02HN0KZ 02HN4KZ plus 02PA0MZ 02PA4MZ Insertion of Defibrillator Lead into Pericardium, Open Approach Insertion of Defibrillator Lead into Pericardium, Percutaneous Endoscopic Approach (for replacement) Removal of Cardiac Lead from Heart, Open Approach Removal of Cardiac Lead from Heart, Percutaneous Endoscopic Approach 02H63KZ 02HK3KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Approach 0JH60PZ Insertion of Cardiac Rhythm Related Device into Chest Subcutaneous Tissue and Fascia, Open approach ICD-9-CM Replacement of Other RA or RV Lead, Transvenous 37.97 Replacement of automatic cardioverter/defibrillator lead(s) only Implantation of Generator 37.96 Implantation of automatic cardioverter/defibrillator pulse generator only ICD-10-PCS 02H63KZ 02HK3KZ plus 02PA3MZ 02PAXMZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Approach (for replacement) Removal of Cardiac Lead from Heart, Percutaneous Approach Removal of Cardiac Lead from Heart, External Approach 0JH608Z Insertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Open Approach Insertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach 0JH638Z 0JH808Z 0JH838Z Replacement of Generator 37.98 Replacement of automatic cardioverter/defibrillator pulse generator only 0JH608Z 0JH638Z 0JH808Z 0JH838Z plus 0JPT0PZ 0JPT3PZ Revision or Repositioning of RA, RV or LV Lead 37.75 Revision of lead (electrode) Revision or Relocation of Pocket 37.79 Revision or relocation of cardiac device pocket 02WA0MZ 02WA3MZ 02WA4MZ Revision of Cardiac Lead in Heart, Open Approach Revision of Cardiac Lead in Heart, Percutaneous Approach Revision of Cardiac Lead in Heart, Percutaneous Endoscopic Approach 0JWT0PZ Revision of Cardiac Rhythm Related Device in Trunk Subcutaneous Tissue and Fascia, Open Approach Revision of Cardiac Rhythm Related Device in Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach 0JWT3PZ Removal of ICD/CRT-D Device without Replacement 37.79 Revision or relocation of cardiac device pocket 0JPT0PZ 0JPT3PZ ICD-9-CM CARDIAC RESYNCHRONIZATION SYSTEM (CRT-D) Implantation or Replacement of Total System 00.51 Implantation of cardiac resynchronization defibrillator, total system (CRT-D) Insertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Open Approach Insertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach (for replacement) Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach ICD-10-PCS 02HK3KZ plus/or 02H63KZ plus/or 02H43KZ plus/or Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Approach Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach Insertion of Defibrillator Lead into Coronary Vein, Percutaneous Approach ICD-9-CM ICD-10-PCS CARDIAC RESYNCHRONIZATION SYSTEM (CRT-D) Implantation or Replacement of Total System, continued 02HN0KZ 02HN4KZ plus 0JH609Z 0JH639Z 0JH809Z 0JH839Z Implantation or Replacement of CRT-D Generator Only 00.54 Implantation or replacement of cardiac resynchronization defibrillator, pulse generator device only, (CRT-D) 0JH609Z 0JH639Z 0JH809Z 0JH839Z plus 0JPT0PZ 0JPT3PZ Implantation or Replacement of LV Lead, Transvenous 00.52 Implantation or replacement of transvenous lead (electrode) into left ventricular coronary venous system Insertion of Defibrillator Lead into Pericardium, Open Approach Insertion of Defibrillator Lead into Pericardium, Percutaneous Endoscopic Approach Insertion of Cardiac Resynchronization Defibrillator Pulse Generator into Chest Subcutaneous Tissue and Fascia, Open Approach Insertion of Cardiac Resynchronization Defibrillator Pulse Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach Insertion of Cardiac Resynchronization Defibrillator Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach Insertion of Cardiac Resynchronization Defibrillator Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach Insertion of Cardiac Resynchronization Defibrillator Pulse Generator into Chest Subcutaneous Tissue and Fascia, Open Approach Insertion of Cardiac Resynchronization Defibrillator Pulse Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach Insertion of Cardiac Resynchronization Defibrillator Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach Insertion of Cardiac Resynchronization Defibrillator Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach (for replacement) Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach 02H43KZ Insertion of Defibrillator Lead into Coronary Vein, Percutaneous Approach plus 02PA3MZ (for replacement) Removal of Cardiac Lead from Heart, Percutaneous Approach 4A023FZ plus 3E053KZ 3E063KZ plus 02K83ZZ Measurement of Cardiac Rhythm, Percutaneous Approach (if used) Introduction of Other Diagnostic Substance into Peripheral Artery, Percutaneous Approach Introduction of Other Diagnostic Substance into Central Artery, Percutaneous Approach (if performed) Map Conduction Mechanism, Percutaneous Approach 4A02X4Z 4A02XFZ Measurement of Cardiac Electrical Activity, External Approach Measurement of Cardiac Rhythm, External Approach 4B02XTZ Measurement of Cardiac Defibrillator, External Approach ELECTROPHYSIOLOGY Diagnostic Electrophysiologic Procedure 37.26 Catheter based invasive electrophysiologic testing 37.27 Cardiac mapping Noninvasive Programmed Electrical Stimulation (NIPS) 37.20 Noninvasive programmed electrical stimulation (NIPS) DEVICE MONITORING Device Monitoring without Induction of Arrhythmia 89.49 Automatic implantable cardioverter/defibrillator (AICD) check These coding suggestions and coverage guidelines do not replace seeking coding advice from the payer and/or your coding staff. The ultimate responsibility for correct coding lies with the provider of services. Please contact your local payer for interpretation of the appropriate codes to use for specific procedures. Medtronic makes no guarantee that the use of this information will prevent differences of opinion or disputes with Medicare or other third party payers as to the correct form of billing or the amount that will be paid to providers of service. Sources for coding in this document are: International Classification of Diseases, Ninth Edition, Clinical Modification. https://www.cms.gov/Medicare/Coding/ICD9ProviderDiagnosticCodes/codes.html International Classification of Diseases, Tenth Revision, Procedure Coding System. https://www.cms.gov/Medicare/Coding/ICD10/2016-ICD-10-PCS-and-GEMs.html AHA Coding Clinic for ICD-10-CM and ICD-10-PCS Clarity Coding, Linda Holtzman, MHA, RHIA, CCS, CCS-P, CPC, CPC-H Medtronic 710 Medtronic Parkway Minneapolis, MN 55432-5604 USA Tel: (763) 514-4000 Fax:(763) 514-4879 medtronic.com Toll-free: 1 (800) 328-2518 (24-hour technical support for physicians and medical professionals) UC201602685 EN © Medtronic 2015. Minneapolis, MN. All Rights Reserved. Printed in USA. 10/2015
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