EPDIR--0420 - Sequence # 7010 | Procedure Type-0420 - Sequence # 7010

Video Transcription

Video Summary

The video transcript discusses a case scenario related to the ICD registry, specifically focusing on Section E Procedure Information, Sequence 7010, Procedure Type. The patient is admitted for a generator change at a facility that submits data for all-patient population. The day after the procedure, there is high impedance in the RV lead, so the patient returns to the lab the following day. Blood is found in the set screws and the device head is cleaned. The leads are reattached without repositioning, and there are no changes to the generator or leads. The correct coding for Procedure Type, Sequence 7010 is identified as 2. Generator Change and Lead Only. If a lead revision or implant occurs within the same admission, the Lead Only lab visit should be captured. The instructions for coding state that any pacing or sensing problem associated with high impedance due to a loose set screw should be captured as an adverse event under the first lab visit.

Keywords

ICD registry

generator change

high impedance

lab visit

coding