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Pacemaker Questions

Liz Posted Wed 06th of February, 2013 22:13:54 PM

Hi,

I need help on the following please.

1) Venography of left subclavian
2) Venogram of right subclavian vein
3) Placement of Medtonic LV lead
4) Removal of Medtronic Impulse dual chamber pacemaker
5) Implantation of CRT-P BIV pacer
6) Venoplasty of totally occluded righ subclavian vein
7) Flouroscopy (bundled?)

Thank you in advance!

SuperCoder Answered Fri 08th of February, 2013 13:37:04 PM

CPT says “conversion of existing system to bi-ventricular system (addition of LV lead and removal of current pulse generator with insertion of new pulse generator with bi-ventricular pacing capabilities” is coded with 33225 (LV lead) and either 33228 or 33229 (gen removal and replacement).

“Radiological supervision and interpretation related to the pacemaker or pacing cardioverter-defibrillator procedure is included in 33206-33249.”

For the venoplasty, look at 35476, Transluminal balloon angioplasty, percutaneous; venous, and 75978-26, Transluminal balloon angioplasty, venous (eg, subclavian stenosis), radiological supervision and interpretation. The venograms are a little tougher because it isn’t clear if there was diagnostic intent or if it was all part of the pacemaker service.

Liz Posted Wed 13th of February, 2013 00:29:07 AM

Thank you! :)

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