#INSERTION OF PASSMAKER CPT CODE CODE#

#INSERTION OF PASSMAKER CPT CODE CODE#

However, according to the Coding Handbook Chapter 27- Cardiac Pacemaker Therapy, there is a directive to, “plus the appropriate code for the lead insertion”.Ī question was sent to AHA Coding Clinic yielding the following response, “…In a temporary pacemaker insertion, leads are inserted via a catheter and attached to an external generator. When coding insertion of a temporary pacemaker (ventricular) in PCS (5A1213Z or 5A1223Z) there is no prompt to code also the lead. The patient was transferred out of the catheterization lab in stable condition. Temporary wire was set at 60 beats per minute with a current of 3mA. The patient tolerated the procedure well with no immediate complications. Balloon-tipped temporary pacer wire was advanced under fluoroscopy into the right ventricular apex. After infiltration with lidocaine, the right femoral vein was entered via percutaneous technique without difficulty and a 6 French sheath was advanced over the guidewire. Groins were prepped and draped in the usual sterile fashion. The procedure was performed in the cardiac catheterization laboratory. A slow ventricular rate in the 30s continued, and a decision was made to insert a temporary pacer wire.

Digibind was given in the Emergency Department. ECG showed atrial fibrillation with slow ventricular response in the 20s and 30s. Presenting to the Emergency Department, he was profoundly weak, near syncope. This 70-year-old male with atrial fibrillation has been placed on a combination of digoxin, metoprolol, and Cardizem. Today’s pearl involves temporary pacemaker insertion. Passing along nuggets that can help us evaluate the documentation in our records, potentially add to our reimbursement and certainly ensure we are all reporting accurate, quality data is the catalyst behind the ECLAT blog. Recently, I was reminded of one of my favorite quotes, “Sometimes we are tested not for our weaknesses but to discover our strengths”. As Revenue Cycle professionals, medical coding professionals, and medical billing experts, we can also celebrate the positive energy generated with learning.

We have several opportunities to celebrate in February including Valentine’s Day, President’s Day, Black History, Heart Health, and the list goes on.

Insertion of passmaker cpt code