Cardiology Question for the Week of February 26, 2018

Question:

When the AICD pulse generator (battery) is replaced due to ERI (elective replacement interval). Which ICD-10 code would be correct, T82.111A or Z45.02?

Answer:

When replacing an implantable cardiac defibrillator (ICD) battery due to ERI, code Z45.02 (encounter for adjustment and management of automatic ICD). ERI established strict time guidelines for safely replacing the ICDs due to time. This would be the same as “end of life” replacement. There is no mechanical breakdown or complication of the battery.

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