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pacemaker with upgrade

Becky Posted Tue 25th of October, 2016 04:17:54 AM
Patient Information Patient Name Sex DOB Meyers, Frederick A II Male 6/21/1968 Visit Information Provider Department Encounter # 10/24/2016  8:32 AM Jonathan William Haft, MD 214039765 Op Note filed by Haft, Jonathan William, MD at 10/24/2016  5:42 PM / Draft: Not Electronically Signed Author: Haft, Jonathan William, MD Service: Thoracic Surgery Cardiac Author Type: Physician Filed: 10/24/2016  5:42 PM Date of Service: 10/24/2016  5:42 PM Status: Unsigned Transcription Editor: Haft, Jonathan William, MD (Physician) Trans ID: 5819116 Trans Status: Unavailable Dictation Time: 10/24/2016  4:48 PM Trans Time: 10/24/2016  5:42 PM Trans Doc Type: Operative Note how would I code this pacemaker upgrade? Thank you in advance   Placement of epicardial left ventricular lead and upgrade of existing dual-chamber pacemaker/defibrillator to a biventricular pacemaker/defibrillator.  
SuperCoder Answered Wed 26th of October, 2016 01:24:44 AM

Use CPT code 33264 and 33225 for upgrading of existing dual-chamber pacemaker/defibrillator to a biventricular pacemaker/defibrillator.

33264 is for removal of dual lead pulse generator to multiple lead pulse generator system.

33225 is for Insertion of pacing electrode, ventricular lead, for left ventricular pacing.

Becky Posted Fri 04th of November, 2016 14:47:52 PM
my doc is saying this code does not specify epicardial lead placement via thoracotomy and should have a higher RVU--can you please respond to if codes include epicardial placement via thoracotomy? Thank you
SuperCoder Answered Mon 07th of November, 2016 02:20:51 AM

Use CPT code 33202 instead of 33225 for insertion of epicardial electrode through thoracotomy along with CPT code 33264.

Hope this would be helpful.

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