American Health Information Management Association (AHIMA) Certification Practice Exam

What is the ICD-9-CM procedure code for the insertion of a dual chamber cardiac pacemaker and leads?

1. 37.83, 37.71

2. 37.81, 37.73, 37.71

3. 37.83, 37.72

4. 37.83, 37.73

The correct answer is: 37.83, 37.72

The procedure code for the insertion of a dual chamber cardiac pacemaker and leads is accurately represented by the codes 37.83 and 37.72. In the ICD-9-CM coding system, 37.83 specifically refers to the insertion of a dual chamber pacemaker. This designation indicates that a device is being placed to help regulate the heart's rhythm with two leads that can pace both the right atrium and right ventricle, thereby coordinating the heart's contractions more effectively. The code 37.72 further provides specificity for the placement of the leads associated with the dual chamber system. This code complements the primary insertion code by detailing the additional procedural aspect involved in correctly positioning both leads to ensure that the pacemaker can function optimally. Together, these codes paint a complete picture of the procedure, capturing both the insertion of the device and the implantation of its leads. This is crucial for accurate medical record-keeping, reimbursement, and data collection in healthcare settings. The selection of 37.83 and 37.72 ensures that all components of the procedure are appropriately coded, reflecting the complexity of treating patients with cardiac rhythm disorders.