CardiologyQuestion of the Week

Cardiology Question for the Week of June 19, 2017


Can we bill for a temporary pacemaker (33210) and permanent pacemaker (33208) performed on the same day but at different sessions if modified appropriately?


If these procedures were done at different sessions for medically necessary reasons, then the hospital could add modifier -59 and bill both of the following codes:

33210 Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure)
33208 Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular

Documentation would have to be clear as to the reason why they were done at separate sessions.