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ICD-10 Coding for Implant(0JH606Z, Z30.017)

Complete ICD-10-CM coding and documentation guide for Implant. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Device ImplantationSurgical Implant

Related ICD-10 Code Ranges

Complete code families applicable to Implant

Encounter for contraceptive management

Includes codes for contraceptive implants and related procedures.

0JH-0JPPrimary Range

Insertion of devices in the cardiovascular system

Primary range for cardiovascular device implants such as pacemakers and ICDs.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
0JH606ZInsertion of pacemaker, subcutaneous approachUse for initial insertion of a pacemaker via subcutaneous approach.
  • Documented pulse generator placement in chest wall pocket
Z30.017Encounter for initial prescription of contraceptive implantUse for initial encounters for contraceptive implant insertion.
  • Counseled patient on Nexplanon®; inserted subdermal contraceptive in left upper arm

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: How to code a dual-chamber leadless pacemaker insertion?

Essential facts and insights about Implant

Use New Technology Section (XW033D6) for insertion. For revisions, switch to Medical/Surgical Section (0JH codes).

Primary ICD-10-CM Codes for implant

Insertion of pacemaker, subcutaneous approach
Non-billable Code

Decision Criteria

clinical Criteria

  • Documented need for pacemaker due to arrhythmia.

Applicable To

  • Pacemaker insertion

Excludes

  • Replacement of pacemaker

Clinical Validation Requirements

  • Documented pulse generator placement in chest wall pocket

Code-Specific Risks

  • Ensure documentation specifies approach and device type.

Coding Notes

  • Ensure the operative report details the approach and device specifics.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

No device used with device-intensive procedure

C1890
Use when revising an existing ICD generator without new device implantation.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Replacement of pacemaker generator

0JPT0PZ
Use for replacement procedures, not initial insertions.

Encounter for checking, reinsertion, or removal of contraceptive implant

Z30.46
Use for follow-up or maintenance visits.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Implant to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0JH606Z.

Impact

Clinical: Inadequate clinical records for patient management., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to incomplete records.

Mitigation Strategy

Use structured templates for documentation., Ensure all device details are recorded.

Impact

Reimbursement: Incorrect code leads to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on implant procedures.

Mitigation Strategy

Use 17999 with detailed operative note.

Impact

Incomplete documentation of device details.

Mitigation Strategy

Use comprehensive templates and checklists.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Implant, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Implant

Use these documentation templates to ensure complete and accurate documentation for Implant. These templates include all required elements for proper coding and billing.

Cardiology Implant Note

Specialty: Cardiology

Required Elements

  • Indication for implant
  • Device details
  • Compliance with guidelines

Example Documentation

52M with ischemic cardiomyopathy (LVEF 30% on TTE 03/01/2025), status post-MI 90 days ago. No angina. ICD implanted via left subclavian approach for primary prevention.

Examples: Poor vs. Good Documentation

Poor Documentation Example
ICD placed for heart failure.
Good Documentation Example
ICD implanted for primary prevention in ischemic cardiomyopathy (LVEF 28% on 03/01/2025, 70 days post-CABG).
Explanation
The good example includes specific clinical details and compliance with guidelines.

Need help with ICD-10 coding for Implant? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

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