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.