Q: Medical Coding for Battery Replacement – “My patient underwent battery replacement in pacemaker. Can I use code Z45.010 as a primary?”

Chandra: A: According to the version of the ICD-10 book that I have there is nothing prohibiting you from using it as a primary code. Now, what I want to know is, is there anything different in Find-A-Code? Because in here there’s no indication that it can’t be. In my opinion, it would actually oftentimes be the primary.

Alicia: Yeah because it’s an encounter for.

Chandra: That’s what they came in for.

Alicia: Yeah. Find-A-Code is great about doing all the Excludes, here’s all the notes that you would excludes, follow-up examination for medical surveillance after treatments.

Medical Coding for Battery Replacement Z45.010 – Video

Chandra: Can we go back to the question for just a second? I want to make sure that what exactly they underwent a battery replacement in the pacemaker. My first question would be, I’m hoping this is subsequent to the battery replacement because the battery replacement would be, why would –

Alicia: Oh replacing.

Chandra: Yeah, replacing the battery. Right there.

Alicia: Oh yeah.

Chandra: Yup. We’re in the right spot then.

Alicia: Good job. You’re right. You can.

JoAnne: Find-A-Code is nice.

Alicia: I love Find-A-Code.

JoAnne: Yeah.

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Medical Coding for Battery Replacement Z45.010 - ICD 10 Coding


About the Author:

Alicia has been working in the medical field for over 20 years. She first learned about medical coding while working in a medical records department at a resort town hospital near where she was raised. Through the years she has held several jobs in the medical field from, CNA, EMT, Pharmacy technician and Medial Records Abstractor and Analyst. Outside of the medical field she has worked as a Real Estate agent, and owned her own on-line retail business. The medical field has always been where she felt the most comfortable. Alicia has taught medical coding, billing and medical law and ethics at a private college. She also did contract work in HCC Risk Adjustment and discovered she really enjoyed ICD work. Because she loves to learn Alicia is working towards her Masters in Health Care Administration with an emphasis on education. Having taken many online classes through the years to complete her degree she feels very comfortable with both face to face and on-line learning. Alicia will tell you that not only does she love medical coding but she has a passion for teaching it. Alicia lives in the middle of Texas with her husband who is a Pastor, five of her six children, three dogs and two cats.

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