ICD Pacemaker: A Case Study

If a pacemaker is implanted to control Greg’s heart rate, he will need or will be forced to make certain life changes to maintain the device. There are many precautions that he will need to take such as keeping electronics a certain distance from directly over the pacemaker and may have other issues in any metal detector situations (Staff, Pacemakers, 2016). In my opinion I think that Greg will be able to play sports again; but, certain sports may be out of the question. Due to the fact of the contact in certain sports, Greg would risk getting hit again putting him as risk for another

CMS received a request to examine a list of ICD–10–PCS procedure code combinations that describe procedures involving pacemakers to determine if some procedure code combinations were excluded from the ICD–10 MS–DRG assignments for MS–DRGs 242, 243, and 244 (Permanent Cardiac Pacemaker Implant with MCC, with CC, and without CC/MCC). CMS proposed to modify the ICD–10 MS– DRG logic so that if certain ICD–10– PCS procedure codes describing procedures involving pacemaker devices listed is reported in combination with one of the ICD–10–PCS procedure codes describing procedures involving certain leads, the case would be assigned to MS–DRGs 242, 243, and 244. CMS also examined their GROUPER logic for MS–DRGs 258 and 259 (Cardiac Pacemaker Device Replacement with and without MCC, respectively). Assignments of cases to these MS–DRGs also include qualifying ICD–10–PCS procedure code combinations describing procedures that involve the removal of pacemaker devices and the insertion of new devices. They thought their logic was overly complex and felt a more simplified approach would be to create a list of all ICD–10–PCS procedure codes describing procedures involving cardiac pacemaker device insertions.

Among the indications for Ventricular Assist Device the presence of decompensated or life-threatening end-stage cardiac disease, for patients with severe circulatory compromise, and when hypo-perfusion, cardiogenic shock, failure to wean off cardiopulmonary bypass after surgery. Also, as destination therapy for patients that are not good candidates for a heart transplant; or inability to wean off from cardiopulmonary bypass after surgery.

43 percent of alarm conditions indicated non-critical, and “generally non-actionable,” events; 38 percent of alarm conditions indicated premature ventricular complexes (PVCs), which, since a landmark 1988 Cardiac Arrhythmic Suppression Trial (CAST) study, are no longer treated; and 3.6 percent of alarm

The biggest challenge from switching to ICD-10-CM to ICD-9-CM would be having to be more specific and havin longer codes. It would also include more information than the ICD-9-CM. We would also have to have people who already code by the ICD-9-CM to switch to ICD-10-CM, they probably wouldn't feel comfortable with a change, especially because ICD-9-CM is already a challenge itself. Having to get familiar with the medical terms as well. For the ICD-10-CM I think would have more numbers and letters to pick from just not "U".

He underwent multiple cardiac related procedures, including a cardiac catheterization and stent placement. After discharge, he developed a fast heart rhythm (180-190 beats per minute -ventricular tachycardia) and other serious heart problems (cardiomegaly, valve regurgitation, and others) that required a cardiac defibrillator implant. He fatigued easily; his condition deteriorated and was hospitalized once more. The diagnoses listed included myocardial infarction (heart attack), acute on chronic respiratory failure, congestive heart failure (CHF), kidney failure, liver failure, hypertension, and anemia. His blood tests were abnormal.

CD-10-CM has a greater number of new features that allow a greater level of specificity and clinical detail such as combination codes for conditions and symptoms or common manifestations, Codes of combination for poisoning and external causes, extensions were added for the episode of attention among others.

T.S. is a 75-year-old male who has a history of coronary artery disease, congestive heart failure, chronic obstructive pulmonary disease, cerebrovascular accident, hypertension, myocardial infarction, renal failure, atrial fibrillation, dyslipidemia, and severe cervical spinal stenosis C4-5. He underwent many procedures in the past, including coronary artery bypass graft, implantation of IV dual chamber permanent pacemaker, exploratory laparotomy, and cardiac pacemaker in situ.

The installment of the ICD-10 coding into the United States healthcare system causes institutions to be faced with some difficult challenges. To conquer these challenges, the healthcare management team can establish an adequate planning strategy. The first strategy is to develop a management team. The management team can organize effective strategies in the work place to avoid costly mistakes. Education and communication are a few effective strategies an organization can achieve during the transition period. An article from the Healthcare Financial Management Association discusses that by not having adequate training for employees can lead to coding errors and reimbursement delays (Noel). By training employees on ICD-10 coding ahead of time

She was getting several painful inappropriate shocks until I was able to reprogram her device. She was admitted to the ICU, and had replacement of her AICD lead that day. The next morning while I was completing ICU rounds, nurses began screaming from her room, calling for a code team. I ran into the patient’s room, and noted that she was in a slow ventricular tachycardia (fatal arrhythmia that needs to be shocked), and unconscious. The new AICD lead and device that was put in yesterday was not working.

The normal, healthy heart has its own pacemaker that regulates the rate that the heart beats. However, some hearts don't beat regularly. A pacemaker can sometimes correct the problem. A pacemaker is a small device that sends electrical impulses to the heart muscle to maintain a suitable heart rate and rhythm. A pacemaker may also be used to treat fainting spells (syncope), congestive heart failure, and hypertrophic cardiomyopathy. It is a small box surgically implanted in the chest cavity and has electrodes that are in direct contact with the heart. First developed in the 1950s, the pacemaker has undergone various design changes and has found new applications since its invention. Today, pacemakers are widely used, implanted in tens of thousands of patients annually.

The main points are why I have a pacemaker, and how I overcame the obstacle today. This will provide the reader with insight. Understanding how the device helps improve my daily quality of life is a key factor of the essay. The pacemaker became a big deal again last year when my ten-year old pacemaker stopped working and the battery went dead. I had to get a bigger, new device implanted. Both surgeries at age six and sixteen caused me to have a lot of pain. Because I had the surgeries, I was able to thrive and go on energetically with my life. The purpose of this essay is to prove how my pacemaker helps me in life.

Polly Hedron, high school geometry high school teacher was suffering from extreme chest pains caused by an irregular heartbeat. Since Polly needed pacemaker installed she was admitted to Metropolitan Hospital and Dr. Harold Harte performed the operation. The pacemaker is fabricated by Organ Technologies, Inc., which is considered to be the top pacemaker on the market. After the surgery Polly felt better, however the chest pains returned and her suffering became worse. After an evaluation the pacemaker that was installed in Polly was defective from the start. Since the pacemaker was inoperative Polly required additional surgeries to remove the pacemaker and have another one installed. Polly filed suit against Organ Technologies, Metropolitan

- Absolute contraindications preclude implant treatment and are usually obvious because treatment is clearly unsuitable, impossible or risks patient survival. They include conditions such as recent myocardial infarction, recent cerebrovascular accident and significant psychiatric disorders .

Paul Zoll from Boston USA came up with the initial external pacemaker in 1952. Later, R. Elmquist& others went into the record on the initial triumphant use of internal pacemakers. A steady activities of fruitful clinical experiments has to a great extent prolonged the suggestions that ICD embedding in the inhibition of sudden cardiac related death (Graffin and Rimmerman 2012).