Preoperative diagnoses:
1)Sick sinus syndrome, status post-pacemaker insertion.
2)Infected pacemaker with exposed wires.
3)Coronary artery disease with history of coronary artery bypass graft.
4)Essential hypertension.
Postoperative diagnoses:
1)Sick sinus syndrome, status post-pacemaker insertion.
2)Infected pacemaker with exposed wires.
3)Coronary artery disease with history of coronary artery bypass graft.
4)Essential hypertension.
Operations performed:
1)Explant of pacemaker generator and two wires under fluoroscopic guidance and xenon laser.
2)Pocket revision.
3)Intraoperative transesophageal echocardiography with interpretation.
Select the appropriate ICD-10-CM and CPT code(s):

Question

Quizplus · Accepted Answer

The correct ICD-10-CM codes are T82.7xxS for the infected pacemaker with exposed wires, I49.5 for sick sinus syndrome, Z95.0 for the presence of a cardiac pacemaker, I25.810 for coronary artery disease with history of coronary artery bypass graft, and I10 for essential hypertension. The correct CPT codes are 33233 for the explant of the pacemaker generator and wires, 33222 for the pocket revision, and 93318 for the intraoperative transesophageal echocardiography with interpretation. These codes accurately reflect the preoperative and postoperative diagnoses and the operations performed.

Preoperative Diagnoses: 1)Sick Sinus Syndrome, Status Post-Pacemaker Insertion