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replace pacemaker

Sandra Posted Tue 01st of July, 2014 20:50:04 PM

02/18/14: dr placed a dual lead pacer, CPT code 33208
03/19/14: Wound cellulitis, CPT code 10180 (incision & drainage)
04/15/14: Placement of Transvenous pacer wire, right femoral vein; exploration of pacer wound; explantation of pacer wire and pacer, (pus was coming out of pacer wound site, can we bill the I&D code again
04/18/14: Replaced the dual pacer (the pulse generator and right atrial lead and right ventricular lead, can we use the new pacer code 33208 with a modifier, if so which modifier. or should the code be 33228, without a modifier? ins is Medicare, the pt is pacer dependent. thank for your assistance.

SuperCoder Answered Thu 03rd of July, 2014 05:10:12 AM

02/18/14: dr placed a dual lead pacer, CPT code 33208

03/19/14: Wound cellulitis, CPT code 10180 (incision & drainage)

04/15/14: Placement of Transvenous pacer wire, right femoral vein; exploration of pacer wound; explantation of pacer wire and pacer, (pus was coming out of pacer wound site, can we bill the I&D code again. --Yes you can bill I&D code 10180 again.

04/18/14: Replaced the dual pacer (the pulse generator and right atrial lead and right ventricular lead, can we use the new pacer code 33208 with a modifier, if so which modifier. or should the code be 33228, without a modifier? ins is Medicare, the pt is pacer dependent. thank for your assistance. - You should use 33208 without any modifier. 33208 represents "Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular ". Also, removal of the existing pulse generator (33233) may be reported separately. Transvenous removal of the electrode(s) may also be reported separately using code 33234 or code 33235 when performed.

Thanks !!

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