Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

CPT code for DDD-ICD replacement, lead extraction and DFT

Carl Posted Sun 17th of January, 2016 03:16:36 AM

Patient presents for replacement of his DDD-ICD generator at ERI. The existing RV defibrillator lead is not functioning well, so it is removed by transvenous lead extraction using a Laser sheath, in the Hybrid room. A new RV defibrillator lead is inserted. The old DDD-ICD pulse generator is removed and a new DDD-ICD pulse generator is inserted, and connected it to the new RV defibrillator lead and existing RA lead. Defibrillation threshold is done.
Which proper CPT code should be included in the claim.
I was suggested: 33249, 33244 and 93641-26. Should 93640 also be included?

SuperCoder Answered Mon 18th of January, 2016 02:40:45 AM

Hi,

I think the codes you suggested are correct. 33249, 33244 and 93641-26. Code 93640 is reported when the pacing cardioverter-defibrillator electrode leads are implanted during insertion but are not connected to the pulse generator. When a pulse generator is connected and the entire system is tested, then code 93641 is reported.

Thanks

Related Topics