Instead of capturing multiple components of a cardiac rhythm management device implantation with a single code, ICD-10 will force providers to code each component of the device system separately, according to a Wolters Kluwer Law & Business whitepaper.
Additionally, when the device is replaced, removal of each component of the device must also be separately coded, the whitepaper noted.
Other findings from the whitepaper on how the conversion from ICD-9 to ICD-10 will impact cardiac rhythm management procedures include the following:
• ICD-9 describes the implantation of devices while ICD-10 uses the term "insertion."
• ICD-10 uses different terminology, such as lead or electrode, to refer to the same device during different operations.
• The term "cardiac electrode" does not appear in ICD-10-PCS, but it does appear in ICD-10-CM.
• Physician documentation is not always consistent with the ICD-10 language. For example, CPT 33244 is the removal of single or dual chamber pacing cardioverter-defibrillator electrode(s); by transvenous extraction. However, "cardiac leads" are "electrodes" and the term "percutaneous" is not in the descriptor even though the transvenous extraction is a percutaneous procedure.
CPT copyright 2010 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. The information provided should be utilized for educational purposes only. Please consult with your billing and coding expert. Facilities are ultimately responsible for verifying the reporting policies of individual commercial and MAC/FI carriers prior to claim submissions.
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Additionally, when the device is replaced, removal of each component of the device must also be separately coded, the whitepaper noted.
Other findings from the whitepaper on how the conversion from ICD-9 to ICD-10 will impact cardiac rhythm management procedures include the following:
• ICD-9 describes the implantation of devices while ICD-10 uses the term "insertion."
• ICD-10 uses different terminology, such as lead or electrode, to refer to the same device during different operations.
• The term "cardiac electrode" does not appear in ICD-10-PCS, but it does appear in ICD-10-CM.
• Physician documentation is not always consistent with the ICD-10 language. For example, CPT 33244 is the removal of single or dual chamber pacing cardioverter-defibrillator electrode(s); by transvenous extraction. However, "cardiac leads" are "electrodes" and the term "percutaneous" is not in the descriptor even though the transvenous extraction is a percutaneous procedure.
CPT copyright 2010 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. The information provided should be utilized for educational purposes only. Please consult with your billing and coding expert. Facilities are ultimately responsible for verifying the reporting policies of individual commercial and MAC/FI carriers prior to claim submissions.
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Cut Your Losses: Maintaining Productivity in ICD-10