0623 - Sequence # 7010 | Procedure Type-0623 - Sequence # 7010

Video Transcription

The EP Device Implant Registry's June 2023 case scenario will review sequence number 7010, procedure type, as it relates to novel pacemakers.  A 67-year-old Chinese female with a history of prior MI and persistent AFib had a dual-chamber permanent pacemaker implant on April 11, 2021.  She was admitted two weeks later with a left bundle lead dislodgement. During the lab visit, the clinician extracted the left bundle lead and implanted an RV lead.  Our question is, how is sequence number 7010, procedure type, coded? One, generator explant, two, lead only, or three, the episode of care is not entered.  Please take a moment to review the documentation and question to determine the best answer.  The correct answer is number two, lead only.  As the registry aims to track all leads devices related to novel permanent pacemakers, the RV lead is not captured, as it was never associated with a novel permanent pacemaker.  Our second scenario, a 67-year-old Chinese female with a history of prior MI and persistent AFib had a dual-chamber permanent pacemaker implant with left bundle lead implanted on April 11, 2021.  Her current admission is for pacemaker generator replacement with a HIS bundle lead implant. Both were successfully implanted. The patient is discharged with no complications.  Our question, how is sequence number 7010, procedure type, coded? Number one, initial generator implant. Number two, generator change. Number three, generator explant.  Or number four, lead only. Please take a few moments to review the documentation and question prior to determining the best answer.  The correct answer is number two, generator change. At the conclusion of the lab visit, the patient now has a novel pacemaker.  The final device is a dual-chamber permanent pacemaker with HIS lead implanted. Thus, a novel pacemaker per the EP Device Implant Registry Inclusion Criteria document.  Thank you for viewing the EP Device Implant Registry's June case scenario.

Video Summary

The video discusses two case scenarios related to the EP Device Implant Registry. In the first scenario, a 67-year-old Chinese woman with a history of prior MI and persistent AFib received a dual-chamber permanent pacemaker implant. She was later admitted with a left bundle lead dislodgement, which was extracted and replaced with an RV lead. The proper coding for this procedure is identified as "lead only," as the RV lead is not associated with a novel permanent pacemaker. In the second scenario, the same woman underwent a pacemaker generator replacement and HIS bundle lead implant. The correct coding for this procedure is "generator change" since a novel pacemaker was implanted. The video concludes by thanking viewers for watching the case scenarios.

Keywords

EP Device Implant Registry

case scenarios

dual-chamber permanent pacemaker implant

lead dislodgement

RV lead