CRHF Procedure Coding System ECONOMICS & …

1 Page 1 of 2 | 2017 crhf ECONOMICS & HEALTH POLICYP rocedure Coding SystemBACKGROUND The Centers for Medicare & Medicaid Services (CMS) implemented the ICD-10-PCS ( Procedure Coding System ) for discharges on and after October 1, 2015 (FY 2016). CMS provides many resources on their web site at: A committee (ICD-10 Coordination and Maintenance C&M), including representatives from CMS, the Centers for Disease Control and Prevention s (CDC) and the National Center for Health Statistics (NCHS), provides two meetings, one in the Spring and one in the Fall. This committee is responsible for approving Coding changes, developing errata, addenda and other such modifications. Additional information is available at: Coding EXAMPLESNote: These are examples only and we recommend that you reference your ICD-10-PCS Coding Manual for a complete list of Procedure codes that might be applicable. Medtronic cardiac Rhythm & Heart Failure ( crhf ) includes implantable devices and catheters for ablations.

2 The tables below provide Inpatient ICD-10 Procedure Coding for a Dual Chamber Pacemaker, a Dual Chamber Defibrillator, a cardiac resynchronization therapy Pacemaker, a cardiac resynchronization therapy Defibrillator, an Insertable Loop Recorder and a Pulmonary Vein Isolation ablation Procedure . The applicable ICD-9 Inpatient Procedure codes are also provided. Dual Chamber PacemakerICD-10 CodeICD-10 Description0JH606 ZInsertion of pacemaker, dual chamber into chest subcutaneous tissue and fascia, open approach02H63 JZInsertion of pacemaker lead into right atrium, percutaneous approach02HK3 JZInsertion of pacemaker lead into right ventricle, percutaneous approachICD-9 CodeICD-9 insertion of dual-chamber insertion of transvenous leads (electrodes) into atrium and ventricleDual Chamber DefibrillatorICD-10 CodeICD-10 Description0JH608 ZInsertion of defibrillator generator into chest subcutaneous tissue and fascia, open approach02H63 KZInsertion of defibrillator lead into right atrium, percutaneous approach02HK3 KZInsertion of defibrillator lead into right ventricle, percutaneous approachICD-9 CodeICD-9 or replacement of automatic cardioverter/defibrillator, total System (AICD)Page 2 of 2 | 2017 cardiac resynchronization therapy Pacemaker (CRT-P)

3 ICD-10 CodeICD-10 Description0JH607 ZInsertion of cardiac resynchronization pacemaker pulse generator into chest subcutaneous tissue and fascia, open approach02H63 JZInsertion of pacemaker lead into right atrium, percutaneous approach02HK3 JZInsertion of pacemaker lead into right ventricle, percutaneous approach02H43 JZInsertion of pacemaker lead into coronary vein, percutaneous approachICD-9 CodeICD-9 of cardiac resynchronization pacemaker without mention of defibrillation, total System (CRT-P) cardiac resynchronization therapy Defibrillator (CRT-D)ICD-10 CodeICD-10 Description0JH609 ZInsertion of cardiac resynchronization defibrillator pulse generator into chest subcutaneous tissue and fascia, open approach02H63 KZInsertion of defibrillator lead into right atrium, percutaneous approach02HK3 KZInsertion of defibrillator lead into right ventricle, percutaneous approach02H43 KZInsertion of defibrillator lead into coronary vein, percutaneous approachICD-9 CodeICD-9 of cardiac resynchronization defibrillator, total System (CRT-D)Insertable Loop RecorderICD-10 CodeICD-10 Description0JH632 ZInsertion of monitoring device into chest subcutaneous tissue and fascia, percutaneous approachICD-9 CodeICD-9 or relocation of cardiac device pocketPulmonary Vein Isolation Catheter AblationICD-10 CodeICD-10 Description02583ZZ*Destruction of conduction mechanism, percutaneous approachICD-9 CodeICD-9 or destruction of other lesion or tissue of heart, endovascular EN 2016 Medtronic.

4 Minneapolis, MN. All Rights Reserved. Printed in USA. 12/2016 Medtronic 710 Medtronic Parkway Minneapolis, MN 55432-5604 USA Toll-free in USA: : + 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 for Coding in this document are:International Classification of Diseases, Ninth Edition, Clinical Modification. Classification of Diseases, Tenth Revision, Procedure Coding System . hospital inpatient prospective payment systems (IPPS) for FY 2017 * AHA Coding Clinic for ICD-10-CM and ICD-10 PCS, Volume 1, Number 4, Fourth Quarter 2014.