Find comprehensive information on permanent pacemaker implantation, including clinical documentation requirements, ICD-10 codes (Z45.01, Z95.0), CPT codes for pacemaker insertion and follow-up, medical coding guidelines, and healthcare resources for patients with permanent pacemakers. Learn about pacemaker types, indications for pacemaker placement, complications, and long-term management. This resource offers valuable information for healthcare professionals, coders, and patients seeking to understand permanent pacemaker diagnosis and care.
Also known as
Presence of cardiac pacemaker
Indicates the presence of a permanently implanted cardiac pacemaker.
Encounter for adjustment/removal of cardiac device
Covers encounters for adjusting or removing a cardiac pacemaker.
Mechanical complication of cardiac device
Includes complications like displacement or lead failure of a pacemaker.
Other specified conduction disorders
May be used if pacemaker implanted for specific conduction disorders.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the pacemaker currently functioning?
When to use each related code
| Description |
|---|
| Permanent Pacemaker |
| Sick Sinus Syndrome |
| Atrioventricular Block |
Inaccurate coding of lead type (e.g., single, dual, atrial, ventricular) impacting DRG and reimbursement.
Confusing initial implant with generator replacement, leading to incorrect code assignment and claims issues.
Failure to code the underlying condition necessitating the pacemaker, affecting quality reporting and risk adjustment.
Patient presents for ongoing management of implanted permanent pacemaker. The patient's primary diagnosis is bradycardia, necessitating permanent pacemaker implantation. Indications for pacemaker placement included symptomatic sinus node dysfunction with documented episodes of sinus bradycardia and atrioventricular block. The patient's current device is a dual-chamber pacemaker, model [Insert Pacemaker Model and Serial Number], implanted on [Date of Implant]. Current medications include [List Medications]. Device interrogation reveals stable pacemaker function with appropriate sensing and capture thresholds. The battery life is estimated at [Number] years. Physical examination reveals a well-healed pacemaker pocket with no signs of infection or erosion. Heart sounds are regular with the pacemaker stimulus audible. The patient denies any pacemaker-related symptoms such as chest pain, palpitations, or dizziness. ECG demonstrates paced rhythm at [Rate] bpm. The patient's overall clinical status is stable. Plan includes continued pacemaker surveillance with device interrogation every [Frequency] months. Patient education reinforced regarding pacemaker function, potential complications, and follow-up schedule. ICD-10 code Z95.0 (presence of cardiac pacemaker) is applicable. CPT codes for device interrogation and evaluation will be determined based on the complexity of the service provided.