Cardiovascular Essentials for Coders-EP Device CPT Coding

Video Transcription

Video Summary

In this detailed session on electrophysiology device coding, Jamie Quimby, a Senior Coding Consultant at MedAxiom, focuses on the intricacies of coding for cardiac device implantations. The session emphasizes understanding the heart's electrical system, which controls the heart's rate and rhythm, and explains how cardiac devices, such as pacemakers and implantable cardioverter defibrillators (ICDs), aid in managing heart arrhythmias. Jamie discusses various types of devices and their functions, detailing the coding procedures in accordance with Current Procedural Terminology (CPT) guidelines.<br /><br />The session covers the different systems used in implants, the necessary coding for single, dual, and biventricular devices, and the specifics of lead placements, including HIS bundle leads and left ventricular leads used in cardiac resynchronization therapy. Additionally, Jamie highlights the criteria for coding new implants, generator changes, and procedures involving leads.<br /><br />The session also touches on Medicare's National Coverage Determinations (NCD) related to pacemakers and defibrillators, including conditions for coverage, necessary modifiers, and specific clinical indications. The thorough walkthrough aims to enhance participants' competence in coding for these essential cardiac interventions.

Keywords

electrophysiology

device coding

cardiac device implantations

pacemakers

implantable cardioverter defibrillators

Current Procedural Terminology

lead placements

cardiac resynchronization therapy

Medicare National Coverage Determinations