Cardiology Question for the Week of November 9, 2015



What code would be assigned for inserting a new lead into an existing pacemaker? The old right ventricular (RV) lead was capped, and a new RV lead was inserted.


Assign the following code when a lead is inserted but the pacemaker is not replaced: 

33216 Insertion of a single transvenous electrode, permanent pacemaker or cardioverter-defibrillator

If the old lead had been removed, you also could assign the following code: 

33234 Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular