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CODES.AND.STUFF

A RESOURCE FOR CLINICAL CODERS IN THE UK

Tag Archives: sutureless pacemaker

Q. I would like to clarify the correct OPCS-4 code assignment for the insertion of a cardiac pacemaker (sutureless screw-in type) using direct surgical approach.

A. The direct surgical approach is primarily employed for patients in whom the intravenous route has not been satisfactory, because of pulmonary hypertension, dilated atrium or ventricle, endocardial fibrosis or tricuspid regurgitation. A sutureless ‘screw-in’ myocardial electrode is secured in the myocardium using one of three approaches. The correct OPCS-4 code is as follows:

K61.1 Implantation of cardiac pacemaker system NEC

Date published: 07/1994 (Issue 16)

Coding Clinic, NHS Classifications Service

www.connectingforhealth.nhs.uk/codingclinic

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