2025 ICD-10-CM code T82.120A
Displacement of a cardiac electrode, initial encounter.
Medical necessity is established by the presence of symptoms or evidence of device malfunction related to the displacement, requiring intervention to restore proper device function.
The physician managing the patient's cardiac device is responsible for diagnosing and treating the displacement.
- 19
- Injury, poisoning and certain other consequences of external causes (S00-T88)Complications of surgical and medical care, not elsewhere classified (T80-T88)
In simple words: The lead of your heart device has moved out of place. This is the first time you've had this problem.
Displacement of a cardiac electrode, initial encounter.This code describes a mechanical complication where the electrode of a cardiac device, such as a pacemaker or implantable cardioverter-defibrillator (ICD), has shifted from its intended position. This is the first encounter for this specific displacement issue.
Example 1: A patient with a pacemaker presents with symptoms suggesting the device is not functioning correctly.Imaging reveals that the pacemaker lead has become dislodged from its original position in the right ventricle., Following an ICD implantation, a patient experiences discomfort and unusual palpitations.Diagnostic tests confirm that one of the ICD leads has migrated from the right atrium., During a routine device check, a previously asymptomatic patient is found to have a displaced pacemaker lead. The lead has shifted but has not yet caused noticeable symptoms.
Documentation should include the evidence of displacement (e.g., imaging studies, device interrogation reports), the patient's presenting symptoms, and the treatment plan.
** This code applies to the initial encounter for the displacement. Subsequent encounters for the same displacement should be coded with T82.120D.If the displacement results in a sequela, use T82.120S.
- Payment Status: Active
- Specialties:Cardiology, Cardiac Electrophysiology, Thoracic Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Physician's Office