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Episode Clinical Summary	Table of Contents				
PERMANENT PACEMAKER SYSTEM REPLACEMENT/INSERTION					
Episode Characteristic	Episode Information				
Episode Overview	"This episode includes clinically related services for patients with permanent pacemaker system replacement or insertion indicated in an outpatient hospital facility or with permanent pacemaker system replacement or insertion as the primary reason for an inpatient hospital facility admission. Patients included in this episode have received an outpatient or inpatient permanent pacemaker procedure involving: 1) permanent pacemaker system insertion, 2) replacement of permanent pacemaker system, 3) replacement of pacemaker components such as leads, electrodes, or generators, or 4) an upgrade of the pacemaker system from single to dual chamber.  Patients are not included for receiving temporary pacemakers, implantable cardioverter defibrillators (ICD), or cardiac resynchronization therapy for defibrillators (CRT-D) procedures.  "				
Episode Subtype Overviews	N/A				
Episode Type	Procedural				
Trigger Rules	"? OP hospital admission with a trigger CPT-4 or a trigger HCPCS code; or 
? IP hospital admission with a trigger DRG code "				
Start Date	3 days before admission to trigger hospital stay 				
Grouping Rules	"Services occurring between the episode start and end date are grouped to the episode using the following grouping rules:
? Service only: Groups services with one of the specified procedure codes listed in the episode?s definition.
? Service-diagnosis pair: Groups services with one of the specified procedure codes only if paired with one of the specified diagnosis codes.
? Principal diagnosis only: Groups services with one of the specified diagnosis codes in the principal position.
The list of codes in the episode's definition can be found on the following page. "				
"Closing Rules
(End Date)"	90 days after discharge from trigger hospital stay				
End of Worksheet					
