US · guidance

CMS Pub. 100-04, ch. 32, § 270.1

Coding Requirements for Implantable Automatic Defibrillators

activein force · 2026-08-25 – presentas-observed

The following are the applicable HCPCS procedure codes for implantable automatic

defibrillators:

33240- (Insertion of single or dual chamber pacing cardioverter-defibrillator pulse

generator)

33241(Subcutaneous removal of single or dual chamber pacing cardioverter-defibrillator pulse generator)

33243 (Removal of single or dual chamber pacing cardioverter-defibrillator

electrode(s); by thoracotomy)

33244 (Removal of single or dual chamber pacing cardioverter-defibrillator electrodes

by transvenous extraction)

33249- (Insertion or repositioning of electrode leads(s) for single or dual chamber

pacing cardioverter-defibrillator and insertion of pulse generator)

For inpatient hospitals claims, if ICD-9 CM is applicable use procedure code 37.94. If ICD-

10-PCS is applicable the following applies.

More than one ICD-10-PCS code (a cluster) is required. There are two possible clusters:

FIRST CLUSTER: Use 1 code from the first list and one code from the second list.

Cluster 1 first list:

0JH608Z Insertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Open

Approach

0JH638Z Insertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia,

Percutaneous Approach

0JH808Z Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Open

Approach

0JH838Z Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia,

Percutaneous Approach

Cluster 1 second list:

02H60KZ Insertion of Defibrillator Lead into Right Atrium, Open Approach

02H63KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach

02H64KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Endoscopic

Approach

02H70KZ Insertion of Defibrillator Lead into Left Atrium, Open Approach

02H73KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Approach

02H74KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Endoscopic

Approach

02HK0KZ Insertion of Defibrillator Lead into Right Ventricle, Open Approach

02HK3KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Approach

02HK4KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Endoscopic

Approach

02HL0KZ Insertion of Defibrillator Lead into Left Ventricle, Open Approach

02HL3KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Approach

02HL4KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Endoscopic

Approach

SECOND CLUSTER:

Use 1 code from 1st list & 1 code from the 4th list; also add one code from each of the

2nd & 3rd lists if doing a replacement instead of initial insertion.

Cluster 2 first list:

0JH608Z Insertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia,

Open Approach

0JH638Z Insertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia,

Percutaneous Approach

0JH808Z Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia,

Open Approach

0JH838Z Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia,

Percutaneous Approach

Cluster 2 second list:

0JPT0PZ Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and

Fascia, Open Approach

0JPT3PZ Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and

Fascia, Percutaneous Approach

Cluster 2 third list:

02PA0MZ Removal of Cardiac Lead from Heart, Open Approach

02PA3MZ Removal of Cardiac Lead from Heart, Percutaneous Approach

02PA4MZ Removal of Cardiac Lead from Heart, Percutaneous Endoscopic Approach

02PAXMZ Removal of Cardiac Lead from Heart, External Approach

Cluster 2 fourth list:

02H60KZ Insertion of Defibrillator Lead into Right Atrium, Open Approach

02H63KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Approach

02H64KZ Insertion of Defibrillator Lead into Right Atrium, Percutaneous Endoscopic

Approach

02H70KZ Insertion of Defibrillator Lead into Left Atrium, Open Approach

02H73KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Approach

02H74KZ Insertion of Defibrillator Lead into Left Atrium, Percutaneous Endoscopic

Approach

02HK0KZ Insertion of Defibrillator Lead into Right Ventricle, Open Approach

02HK3KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Approach

02HK4KZ Insertion of Defibrillator Lead into Right Ventricle, Percutaneous Endoscopic

Approach

02HL0KZ Insertion of Defibrillator Lead into Left Ventricle, Open Approach

02HL3KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Approach

02HL4KZ Insertion of Defibrillator Lead into Left Ventricle, Percutaneous Endoscopic

Approach

History

(Rev. 2998, Issued: 07-25-14, Effective: Upon implementation of ICD-10; 01-01-12 - ASC X12, Implementation: 08-25-2014 - ASC X12; Upon Implementation of ICD-10)

Provenance

Source: cms.gov
Retrieved: 2026-08-25
Edition: iom-2026-08-25
Content hash: e4bd353c4fea981292d2f4d7d2b77459aa1a99c9929f995c7a130d25160fa79b

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