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1 Supplemental Material 1
2 Table S1. Codes for Patient Selection Cohort Codes Primary PM CPT: or or (without 33225) ICD-9 proc: 37.81, 37.82, Primary ICD Replacement PM Replacement ICD CPT: (without 33225) ICD-9 proc: CPT: or or ICD-9 proc: 37.85, 37.86, CPT: or or ICD-9 proc:
3 Table S2. History of CIED Device Codes Code Type Code Category Description Require 1 device, history code in one year baseline to define a "replacement" procedure. If no code for device present during baseline, then a "primary" procedure CPT Device CPT Device CPT Device CPT Device CPT Device CPT Device CPT Device CPT Device CPT Device CPT Device CPT Device CPT Device CPT Device optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; single lead pacemaker system optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; dual lead pacemaker system optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; multiple lead pacemaker system optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; single lead transvenous implantable defibrillator system optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; dual lead transvenous implantable defibrillator system optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; multiple lead transvenous implantable defibrillator system Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead pacemaker system Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead implantable defibrillator system Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; single, dual, or multiple lead pacemaker system Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; single, dual, or multiple lead transvenous implantable defibrillator system, including analysis of heart rhythm derived data elements Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system with interim analysis, review(s) and report(s) by a physician or other qualified health care professional Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead implantable defibrillator system with interim analysis, review(s) and report(s) by a physician or other qualified health care professional Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system or implantable defibrillator system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 3
4 Code Code Category Description Type CPT Device Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters) CPT Device Electronic analysis of antitachycardia pacemaker system (includes electrocardiographic recording, programming of device, induction and termination of tachycardia via implanted pacemaker, and interpretation of recordings) CPT Device Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular monitor system or implantable loop recorder system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results CPT Device after 12/31/2009 CPT Device after 12/31/2009 CPT Device after 2009 CPT Device Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes recording with and without magnet application with analysis, review and report(s) by a physician or other qualified health care professional, up to 90 days CPT Device after 2009 CPT Device after 2009 CPT Device after 2009 CPT Device after 2009 CPT Device after 2009 CPT Device after 2009 CPT Device or after 2009 ICD9 V45.01 History of device Cardiac pacemaker in situ ICD9 V45.02 History of device Automatic implantable cardiac defibrillator in situ ICD9 V53.31 History of device Fitting and adjustment of cardiac pacemaker ICD9 V53.32 History of device Fitting and adjustment of automatic implantable cardiac defibrillator ICD Device Artificial pacemaker rate check ICD Device Artificial pacemaker artifact wave form check ICD Device Artificial pacemaker electrode impedance check ICD Device Artificial pacemaker voltage or amperage threshold check 4
5 Code Type ICD9 ICD9 Code Category Description Device Device Automatic implantable cardioverter/defibrillator (AICD) check Noninvasive programmed electrical stimulation [NIPS] 5
6 Table S3. Codes Indicating Complete Device Removal* Code Type Code Description ICD Implantation of cardiac resynchronization pacemaker without mention of defibrillation, total system (CRT-P) ICD Implantation of cardiac resynchronization defibrillator, total system (CRT-D) ICD Implantation or replacement of transvenous lead (electrode) into left ventricular coronary venous system ICD Implantation or replacement of cardiac resynchronization pacemaker, pulse generator only (CRT-P) ICD Implantation or replacement of cardiac resynchronization defibrillator, pulse generator only (CRT-D) ICD Insertion of permanent pacemaker, initial or revision, type of device not specified ICD Initial insertion of single-chamber pacemaker device, not specified as rate responsive ICD Initial insertion of single-chamber pacemaker device, rate responsive ICD Initial insertion of dual-chamber pacemaker device ICD Replacement of any type pacemaker device with single chamber device, not specified as rate responsive ICD Replacement of any type pacemaker device with single chamber device, rate responsive ICD Replacement of any type pacemaker device with dual chamber device ICD Revision or removal of pacemaker device ICD Implantation or replacement of automatic cardioverter-defibrillator (AICD), total system ICD Implantation or replacement of automatic cardioverter-defibrillator pulse generator only ICD Replacement of automatic cardioverter-defibrillator (AICD), pulse generator only CPT Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial CPT Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular CPT Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular CPT Insertion or replacement of pacemaker pulse generator only; single-chamber, atrial or ventricular CPT Insertion or replacement of pacemaker pulse generator only; dual-chamber CPT Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (includes removal of previously placed pulse generator, testing of existing lead, insertion of new lead, insertion of new pulse generator) CPT Insertion of a single transverse electrode, permanent pacemaker or cardioverter-defibrillator CPT Insertion of 2 tranvenous electrodes, permanent pacemaker or cardioverter-defibrillator CPT Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to previously placed pacemaker or pacing cardioverterdefibrillator pulse generator (including revision of a pocket, removal, insertion, and/or replacement of generator CPT Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of pacing cardioverter-defibrillator or pacemaker pulse generator (including upgrade to dual-chamber system) (Use in conjunction with code for primary procedure) CPT Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion, and/or replacement of generator) 6
7 Code Type Code Description CPT Removal and replacement of permanent pacemaker pulse generator; single lead system CPT Removal and replacement of permanent pacemaker pulse generator; dual lead system CPT Removal and replacement of permanent pacemaker pulse generator; multiple lead system CPT Removal of permanent pacemaker pulse generator CPT Insertion of single or dual chamber pacing cardioverter-defibrillator pulse generator CPT Insertion or replacement of permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber CPT Removal and replacement of pacing cardioverter-defibrillator pulse generator; single lead system CPT Removal and replacement of pacing cardioverter-defibrillator pulse generator; dual lead system CPT Removal and replacement of pacing cardioverter-defibrillator pulse generator; multiple lead system HCPCS G9410 Patient admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision HCPCS G9412 Patient Admitted Within 180 Days, Status Post Cied Implantation, Replacement, Or Revision With An Infection Requiring Device Removal Or Surgical Revision *This codes list was adapted from the PQRS measure 393: Infection within 180 days of CIED Implantation, Replacement, or Revision 7
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