This application discusses, among other things, an implantable medical device including a setscrew that enables lead tip visibility as an indicator of full lead insertion without requiring a grommet. In an example, the implantable medical device header is provided with a lead bore and a setscrew bore with the setscrew bore having a longitudinal axis that extends in a transverse direction to, and in communication with, the lead bore. In one example, the setscrew bore intersects with the lead bore at a location that is offset from the central longitudinal axis of the lead bore.