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Boston Scientific PLEASE CODE

Prahlad Posted Wed 26th of February, 2020 06:42:03 AM
PROCEDURE PERFORMED: 1. Extraction of a subcutaneous defibrillator and lead. 2. Extensive pocket debridement. 3. Tissue cultures obtained from both the midline incision ASSESSMENT: Successful extraction of a Boston scientific Emblem Mri as well as the Emblem subcutaneous ICD, Subcutaneous electrode after the generator was found to be eroding from the skin. axillary pocket PLS CODE
SuperCoder Answered Thu 27th of February, 2020 07:59:41 AM

Hi,

 

An S-ICD has a pulse generator and an electrode. The physician implants the pulse generator under the patient’s skin, typically under the armpit on the side of the chest. The physician implants the electrode so that this component attaches to the generator and extends under the skin to the target site, usually reaching from the generator and along the rib until the component reaches the breastbone. The S-ICD works by detecting the patient’s heart rhythms and delivering an electric shock (defibrillation) to correct abnormal heart rhythms.

 

As per the given report, the appropriate CPT codes will be:

33241 - Removal of implantable defibrillator pulse generator only

33272 - Removal of subcutaneous implantable defibrillator electrode

11042 – for extensive pocket debridement

 

Please also check below link:

https://www.supercoder.com/coding-newsletters/my-cardiology-coding-alert/cpt-2015-replace-your-old-cat--iii-codes-for-s-icds-with-new-and-old-cat--i-options-in-2015-143409-article

 

Thanks

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