2025 ICD-10-CM code T82.120D
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Injury - Complications of surgical and medical care, not elsewhere classified (T80-T88) Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T88) Feed
Displacement of cardiac electrode, subsequent encounter.
Modifiers may apply depending on the circumstances of the visit and the procedures performed.Consult the most recent modifier guidelines for potential applications.
Medical necessity for this code would be established by documentation indicating symptoms related to the displaced electrode (e.g., altered heart rhythm, chest pain, dizziness), imaging findings confirming the displacement, and the need for intervention to reposition or replace the electrode.The medical necessity must justify the subsequent encounter and demonstrate that the intervention was clinically appropriate and necessary to improve the patient's health.
The clinical responsibility for this code falls on the cardiologist or cardiac surgeon who manages the patient's cardiac device.This includes diagnosis, treatment, and management of complications.
- Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T88)
- T82.120D falls under the broader category of complications of cardiac devices within the ICD-10-CM classification of injuries, poisonings, and other external causes.
In simple words: This code is used when a doctor sees a patient for a problem with a heart device that's already been implanted in the patient's body, specifically if the device has moved from its correct position. This usually happens after the initial placement of the device.
This code signifies a subsequent encounter for the displacement of a cardiac electrode.It indicates that a previously implanted cardiac electrode has been displaced, requiring further medical attention. This could be due to various factors, such as trauma, device malfunction, or other complications.The code is used for subsequent encounters, implying that an initial diagnosis and treatment have already occurred.
Example 1: A patient with a previously implanted pacemaker experiences chest pain and discomfort.Upon examination, the pacemaker electrode is found to be displaced. This code would be used for the subsequent encounter to address the displacement., A patient undergoes a cardiac ablation procedure, and during the procedure, a cardiac electrode is accidentally dislodged. This code would be used for the subsequent encounter to address and correct the dislodgement., A patient experiences a fall and sustains chest trauma resulting in the displacement of an implanted cardiac defibrillator lead. This would require a subsequent encounter to assess and reposition the lead.Additional codes from Chapter 20 should be used to reflect the external cause.
Detailed documentation should include the initial placement date of the cardiac electrode, the reason for displacement (e.g., trauma, spontaneous, procedural complication), imaging studies (e.g., chest X-ray, fluoroscopy) demonstrating the displacement, and the procedure performed to correct the displacement.Physician's notes should clearly state the clinical findings, diagnosis, treatment plan, and outcomes.
** This code is for subsequent encounters only.The initial diagnosis and treatment should be coded separately. The 7th character 'D' indicates a subsequent encounter.
- Payment Status: Active
- Modifier TC rule: The use of a technical component (TC) modifier would depend on the specific procedure performed to address the displacement. If a physician is performing the professional component of the procedure, a TC modifier may be used to indicate the technical component is being billed separately.
- Specialties:Cardiology, Cardiac Surgery
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center