Displacement of cardiac electrode, initial encounter

This code signifies the dislodgement or movement of a cardiac electrode from its intended position within the heart or great vessels. This displacement can compromise the function of the implanted device, such as a pacemaker or defibrillator, requiring medical intervention. It represents the initial presentation of this specific complication.

Apply this code when a patient presents for the first time with symptoms or imaging findings indicating that a previously implanted cardiac electrode has moved. This includes scenarios where a lead has migrated, fractured, or become dislodged from its myocardial attachment site. It is appropriate for the initial diagnostic workup and management of this complication.

• Always assign a secondary code to identify the specific type of cardiac device involved (e.g., pacemaker, defibrillator).
• Ensure documentation clearly states this is the initial encounter for the displacement; subsequent encounters would use a different seventh character.
• Look for terms like "lead migration," "electrode dislodgement," or "lead fracture" in the clinical notes.