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Cardiology Coding Alert

Pacing Systems:

+33225 Confusion? Apply the Official Solution

Published on Thu Apr 12, 2012

Pull out the red pen to mark this LV-lead correction in your manual.Certain biventricular upgrade cases have been frustrating coders, but there's good news. Finding the proper code combination is much simpler now that the AMA has published an official correction to the primary codes you may report with +33225 (Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of pacing cardioverter-defibrillator or pacemaker pulse generator [including upgrade to dual chamber system and pocket revision] [List separately in addition to code for primary procedure]).Add Gen Change Codes to Primary OptionsThe corrections document for AMA's CPT® 2012 manual revises the parenthetical instruction following +33225. The revision adds four codes to the list of possible primary codes for +33225:33228, Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system33229, ... multiple lead system33263, Removal of pacing cardioverter-defibrillator pulse generator with replacement [...]
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