Question

Please assign the correct ICD-10-PCS codes to the following operative report: PROCEDURE: Placement of a dual chamber implantable pacing cardioverter-defibrillator INDICATIONS: Patient with moderate ischemic cardiomyopathy, prior infarct and stent PROCEDURE DESCRIPTION: After informed consent, the patient is brought to the lab. The procedure was done under conscious sedation fluoroscopic guidance. One percent Lidocaine was used to anesthetize the skin under the left clavicle, and a skin incision was made. A pocket was made for the ICD generator and leads securing good hemostasis. The left subclavian vein was easily cannulated twice using a pediatric set, which was up-sized to regular 037 wires, the position of which was checked under fluoro. I then dilated the access volt with 9-French dilators and used 7-French access sheaths through which a 7-French right ventricular lead was advanced and placed under fluoroscopic guidance with Omnipaque. It was an active fixation lead. The numbers looked good and the lead was sutured down. There was no diaphragmatic stimulation. A 7-French lead was then advanced under fluoroscopic guidance and placed in the right atrial appendage. The numbers looked good. There was no diaphragmatic stimulation, and the lead was sutured down. The leads were then attached to the generator, which was tested and sutured down in the pocket. Wound closed in layers. The patient tolerated the procedure well, without any complications. The wound was irrigated several times with antibiotics during and at the end of the case. IMPRESSION: Successful dual chamber ICD as noted above. The patient will be admitted overnight, will get an additional dose of antibiotics and a chest x-ray, and if stable, will be discharged home in the morning. -

Answer 1

ICD-10 PCs codes. 02H6 3J2 - The inserted percutaneously into I right Atrium. . 02 Hk 3 JZ - 'The inseated percutaneously O into right ventricle. The pace maker lead insention is coded Separately OJH 6062 - Insertion of pacemaken, Dual chambeg into chest subcutaneous, Tissue and fascia.