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Cardiology Coding Alert

Reader Question:

Get Your Lead Codes Straight

Question: What code should I use for the removal of a CS lead? Code 33226 is for repositioning, right? Pennsylvania Subscriber
Answer: You won't find a specific code that accurately describes this service. However, many coders would report 33244 (Removal of a single or dual chamber pacing cardioverter-defibrillator electrode[s]; by transvenous extraction) for the lead(s) removal. Others may go the more conservative route and use the unlisted-procedure code 33999 (Unlisted procedure, cardiac surgery). Yes, 33226 (Repositioning of previously implanted cardiac venous system [left ventricular] electrode [including removal, insertion and/or replacement of generator]) is for repositioning.

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