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Z45.00: Adjustment and management of an implanted pacemaker

The settings of your pacemaker were checked and possibly adjusted.

The heart pumps blood through the body. Inside the heart are 4 chambers. There are 2 heart atria and 2 ventricles. Both heart atria and both ventricles are separated from each other by a partition. The heart's electrical activity causes the heart muscle to contract. It begins at a site in your right atrium. Initially the electrical activity spreads to both atria. The electrical activity then flows on via a sort of cable to the ventricles.

A pacemaker is composed of a housing with a battery and one or more long cables. The housing is located on the right or left side of the ribcage under the skin. The ends of the cables are located at certain points in the heart. A pacemaker can release electric current from the heart and thus trigger the heartbeat. Thanks to the pacemaker, the heart should beat regularly at a normal pace.

The pacemaker must be adjusted precisely to your heart. For example, it is possible to adjust when the device triggers a heartbeat. It is also possible to adjust how much electric current it releases to the heart. Furthermore, the pacemaker should be checked to ensure that it is working properly. For example, every cable must be located at the right place in the heart.

Additional indicator

On medical documents, the ICD code is often appended by letters that indicate the diagnostic certainty or the affected side of the body.

  • G: Confirmed diagnosis
  • V: Tentative diagnosis
  • Z: Condition after
  • A: Excluded diagnosis
  • L: Left
  • R: Right
  • B: Both sides

Further information

Note

This information is not intended for self-diagnosis and does not replace professional medical advice from a doctor. If you find an ICD code on a personal medical document, please also note the additional indicator used for diagnostic confidence.
Your doctor will assist you with any health-related questions and explain the ICD diagnosis code to you in a direct consultation if necessary.

Source

Provided by the non-profit organization “Was hab’ ich?” gemeinnützige GmbH on behalf of the Federal Ministry of Health (BMG).