Cardiology Question for the Week of October 23, 2017

Cardiology Compliance Question of the Week

Question:

What is the best code to assign for a generator change from a dual-chamber to a single-chamber? Our cardiologist capped off a lead and then replaced a dual-chamber with a single-chamber pacemaker.

Answer:

Since the lead was capped and not removed, a code is not assigned for the lead, and you would code only for the generator replacement. Since the new one is a single-chamber, the following code would be reported instead of one for the dual-chamber.

33227 Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.