Nancy Posted Tue 15th of February, 2011 19:38:48 PM
Could someone tell me the correct CPT codes for removal and replacement for a pulse generator? I have a provider telling me to use CPT code 33240. Thanks for your help
SuperCoder Answered Tue 15th of February, 2011 21:14:55 PM
You can pick the appropriate code from the below set of codes as per documentation:
33212 Insertion or replacement of pacemaker pulse generator only; single chamber, atrial or ventricular
33213 Insertion or replacement of pacemaker pulse generator only; dual chamber
33241 Subcutaneous removal of single or dual chamber pacing cardioverter-defibrillator pulse generator
Misty Answered Wed 16th of February, 2011 14:55:45 PM
The removal code for PM is 33233. 33241 is the removal of a ICD and is not used with 33212/33213.
Misty Answered Wed 16th of February, 2011 15:18:40 PM
Here is a good sheet that groups commonly billed Pm and ICD procedures together. It is not a 100% and depends on what the doctor dictates but I found it helpful as a tool to see what is coded together for EP procedure when I was first starting. It is a good starting point to get you in the right code area. http://www.medtronic.com/wcm/groups/mdtcom_sg/@mdt/@crdm/documents/documents/2011physicianlabsheetfinal.pdf
The first page is for Pace Makers and the second page is for ICDs. Hope it helps :) Misty
SuperCoder Answered Wed 16th of February, 2011 15:28:57 PM
Nancy, if it is removal of permanent pacemaker pulse generator, then 33233 as suggested by Misty is perfectly alright.
However, if there is wording of "replacement" as you mentioned, then the code sets will be different. From the list I have given, you can pick either 33212 or 33213 as appropriate.
You can also see some more codes also like 33241 related to this with some variation in coding description. But the exact code depends on the documentation.