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ICD 9 Coding SSS when a pacemaker is present

  1. Default ICD 9 Coding SSS when a pacemaker is present
    Medical Coding Books
    When sick sinus syndrome is documented as well as a pacemaker, do you code the SSS or just the pacemaker.

    Thanks to anyone who can help.

    Nicolette

  2. Default
    I code the pacemaker status as well, v4501 or v4509.

  3. Default
    I was recently told by my coding instructor that once a person has a pacemaker inserted, you NEVER code for SSS.

  4. #4
    Location
    St. Louis West, MO
    Posts
    29
    Default
    I'm wondering why you would not code SSS once the pacemaker is inserted. If the pacemaker fails or is removed, the underlying condition would still be there. (Of course, this is assuming the provider documents appropriately the underlying condition which the pacemaker is treating.)

  5. #5
    Location
    Glendale Geckoders
    Posts
    20
    Default
    Quote Originally Posted by seestarz View Post
    I was recently told by my coding instructor that once a person has a pacemaker inserted, you NEVER code for SSS.
    Where did your instructor find these guidelines?

  6. Default
    Quote Originally Posted by serhaug View Post
    I'm wondering why you would not code SSS once the pacemaker is inserted. If the pacemaker fails or is removed, the underlying condition would still be there. (Of course, this is assuming the provider documents appropriately the underlying condition which the pacemaker is treating.)
    Hello,
    I found this information in Coding Clinic 2010 3rd quarter, I hope you find it useful. Also there are other references in Coding Clinic if you subscribe.

    Question:
    Coding Clinic, Fifth Issue 1993, page 12, advised that when sick sinus syndrome (SSS) is controlled by a pacemaker, no code assignment is required if no attention or treatment is provided to the condition or the device. However, we are seeing records where the patient is admitted for an unrelated condition, but during the stay the physician does an interrogation of the pacemaker. Is it appropriate to assign a code for sick sinus syndrome, as a chronic condition, when a patient has a previously placed pacemaker and it is interrogated during the hospitalization?

    Answer:
    Assign code V53.31, Fitting and adjustment of other device, Cardiac device, cardiac pacemaker, as an additional code assignment. A code is not assigned for sick sinus syndrome when it is being controlled by the pacemaker and no problems are detected during the check. Interrogation is a routine check, which is done via computer to assess pacemaker function. The pacemaker is routinely evaluated to ensure the device is programmed accurately as well as to assess battery and lead function. Pacemaker settings may be reprogrammed, if required. Interrogation of the device can be done in the inpatient setting or in the office setting. Code 89.45, artificial pacemaker rate check, may be assigned for the procedure.

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