Table 1.
Procedure and Diagnosis Codes
| Code | Description | Category (First Device Procedure) | Category (Intervention During Follow‐Up) |
|---|---|---|---|
| Procedure codes | |||
| 33215 | Reposition pacing defibrillator lead | Exclusion criteria | Revise/remove lead |
| 33216 | Revision implanted electrode | Exclusion criteria | Revise/remove lead |
| 33217 | Insert/revise electrode | Exclusion criteria | Revise/remove lead |
| 33218 | Repair lead pacemaker‐defibrillator, one | Exclusion criteria | Revise/remove lead |
| 33220 | Repair lead pacemaker‐defibrillator, dual | Exclusion criteria | Revise/remove lead |
| 33244 | Remove electrode, transvenous | Exclusion criteria | Revise/remove lead |
| 37.76 | Replace transvenous lead | Exclusion criteria | Revise/remove lead |
| 37.97 | Replace cardioverter/defibrillator lead | Exclusion criteria | Revise/remove lead |
| 37.75 | Revision pacemaker lead | Exclusion criteria | Revise/remove pacing lead |
| 37.77 | Removal of pacing lead without replacement | Exclusion criteria | Revise/remove pacing lead |
| 33235 | Removal pacemaker electrode | Exclusion criteria | Revise/remove pacing lead |
| 33226 | Reposition LV lead | Exclusion criteria | LV lead |
| 33225 | Insert pacing electrode (LV) | CRT‐D if 33249 within 7 d | LV lead |
| 0.52 | Implant/replace transvenous lead into LV coronary venous system | LV lead | |
| 33249 | Insert/replace defibrillator system with lead(s) |
ICD if coded alone CRT‐D if 33225 within 7 d |
Device and leads |
| 37.94 | Insert/replace defibrillator, total system | ICD | Device and leads |
| 0.51 | Implant CRT‐D total system | CRT‐D | Device and leads |
| 33240 | Insert PG | ICD | Remove/replace PG |
| 33241 | Remove PG | Exclusion criteria | Remove/replace PG |
| 33262 | (2012+) Removal of ICD with replacement; single‐lead system | Exclusion criteria | Remove/replace PG |
| 33263 | (2012+) Removal of ICD with replacement; dual‐lead system | Exclusion criteria | Remove/replace PG |
| 33264 | (2012+) Removal of ICD with replacement; multilead system | Exclusion criteria | Remove/replace PG |
| 37.87 | Replace any device with dual chamber | Exclusion criteria | Remove/replace PG |
| 37.89 | Revise/remove pacemaker | Exclusion criteria | Remove/replace PG |
| 37.96 | Insert cardioverter/defibrillator PG | ICD | Remove/replace PG |
| 37.98 | Replace cardioverter/defibrillator PG | Exclusion criteria | Remove/replace PG |
| 0.54 | Implant/replace CRT‐D generator only | Exclusion criteria | Remove/replace PG |
| 37.79 | Revise pacemaker pocket | Exclusion criteria | Revise pocket |
| 33223 | Pacemaker AICD pocket | Exclusion criteria | Revise pocket |
| Complication Type | Diagnosis Code | Description |
|---|---|---|
| Diagnosis codes | ||
| Mechanical | 996 | Mechanical complication of cardiac device implantation and graft |
| 996 | Mechanical complication of unspecified cardiac device, implant, and graft | |
| 996.01 | Mechanical complication attributable to cardiac pacemaker (electrode) | |
| 996.04 | Mechanical complication of automatic implantable cardiac defibrillator | |
| 996.09 | Other mechanical complication of cardiac device, implant, and graft | |
| 996.7 | Other complications because of unspecified device, implant, and graft | |
| 996.72 | Other complications because of other cardiac device, implant, and graft | |
| Infection | 996.61, 996.62, 996.6, 996.60 | Infection attributable to device, implant, and graft |
| 038.(0, 10, 11, 19, 2, 3, 40, 41, 42, 43, 44, 49, 8, 9) | Sepsis | |
| 790.7 | Bacteremia | |
| 421, 421.(0, 1, 9) 424.(9, 90, 91, 99) | Endocarditis | |
| 785.5 | Shock | |
| 682.8, 682.9 | Cellulitis | |
AICD indicates automatic implantable cardiac defibrillator; CRT‐D, cardiac resynchronization therapy defibrillator; ICD, implantable cardioverter‐defibrillator; LV, left ventricular; PG, pulse generator.