Transcription of Pacemaker & Defibrillator Procedures
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Pacemaker & Defibrillator ProceduresJim Collins, CPC, CCCP resident, , (c) 2017 client # 756 The 4 Pathways to Pacemaker CoverageCMS Published CoverageSome asymptomatic Patients from above 25 MAC defined indicationsMAC Interpretation of CMS CoverageCMS Published Coverage Documented non-reversible symptomatic bradycardia due to sinus node dysfunction, or AV Block (2ndor 3rdDegree)5 MAC Defined Indications (no codes provided) resynchronization therapy hypertrophic pause-dependent VT in children, adolescents, & patients with congenital heart diseaseMAC Interpretation (symptomatic)Blocks: AV Block unspec( )1st Degree AV Block ( )LBB other/unspecified ( )RBB other/unspec( , )BBB unspec( , ), RBB w/fasicularblock ( ), other BBB ( )Bifascicularblock ( )Trifascicularblock ( )SVTs ( , )Persistent AF ( )Unspecified AF ( )Atrial flutters ( , , )Carotid sinus syncope ( )MAC Interpretation (asymptomatic)1stDegree AV Block ( )2ndDegree AV Block ( )Complete AV Block ( )SSS ( )Narrative for indications across all MACs is the same.
Carotid sinus syncope (G90.01) MAC Interpretation (asymptomatic) 1stDegree AV Block (I44.0) 2ndDegree AV Block (I44.1) Complete AV Block (I44.2) SSS (I49.5) Narrative for indications across all MACs is the same. The ICD-10 codes that correlate with the “asymptomatic” indications were only published in the WPS article – they are summarized ...
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