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Cardiology Coding Alert

Reader Question:

Go With 33225 for Coronary Sinus Venography

Published on Sun Aug 31, 2003

Question: Is coronary sinus venography included in 33225?

Washington Subscriber Answer: Coronary sinus venography is included in +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] [list separately in addition to code for primary procedure]), according to CPT Changes 2003: An Insider's Guide. When physicians insert these biventricular pacing devices, they need to know where they are putting the pacing wire. By performing the venography, they can better determine accurate wire placement.    - Answers to You Be the Coder and Reader Questions were provided Jim Collins, CHCC, CPC, president of Compliant MD Inc. and compliance manager for several cardiology groups around the country; and Anne C. Karl, RHIA, CCS-P, CPC, coding and compliance specialist with the St. Paul Heart Clinic in Mendota Heights, Minn; and reviewed by Jerome Williams Jr., MD, FACC, a cardiologist with Mid Carolina Cardiology in Charlotte, N.C.
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