Cardiology Question for the Week of October 19, 2015

Question:

Question 

We upgraded a dual-chamber ICD to a B-V with new lead. What would we code?

Answer

You would assign the following codes:

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

33264     Removal of pacing cardioverter-defibrillator pulse generator with replacement of pacing cardioverter-defibrillator pulse generator; multiple lead system.

Answer: