Cardiology Question for the Week of March 21, 2016


We placed an ICD with bi-ventricular leads. I’ve assigned code 33249. Is that correct?


Code 33249 is correct, but you should also report 33225 for the placement of the left ventricular lead. 

33249Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber

33225Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (e.g., for upgrade to dual chamber system) (List separately in addition to code for primary procedure)