Cardiology Coding Alert

Reader Questions:

Mark Down These ICD-10-CM Codes

Question: A patient received a pacemaker implant last year because of Atrioventricular (AV) block (Lyme disease) and totally recovered, so they wanted their pacemaker removed. What would the appropriate ICD-10-CM code be if there is nothing wrong with the device or leads?

Ohio Subscriber

Answer: You should report the following codes on your claim:

  • Z09 (Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm). This code also includes medical surveillance following completed treatment.
  • Z45.018 (Encounter for adjustment and management of other part of cardiac pacemaker)