Cardiology Coding Alert
Keep Biventricular Upgrade Coding Simple
Question: The cardiologist removed an existing dual-chamber pacemaker generator, replaced it with a new biventricular pacemaker generator (so three ports), and added a left ventricular lead. I want to be sure I found all the codes. Which ones are correct?
Oregon Subscriber
Answer: You should report the generator work using single code 33229 (Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system).
Then add left ventricular lead code +33225 (Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator [e.g., for upgrade to dual chamber system] [List separately in addition to code for primary procedure]).
Cardiology Coding Alert
- CPT® 2016:
Watch for Opportunities to Report New Category III Codes for Cardiology
A handy list of primary codes ensures your myocardial imaging add-on code has a proper [...] - CPT^® 2016:
Prevent Prolonged Services Mishaps With Updates on New and Revised Codes
Clinical staff service add-on codes present new possibilities. CPT® 2016 both adds new codes and [...] - CCI Update:
Don't Let Ablation/Duplex Edit Change Lead You Into Trouble
Use caution when considering this modifier indicator change. The Correct Coding Initiative (CCI) update effective [...] - ICD-10-CM:
Pick the Proper Code for Primary Pulmonary Hypertension
But beware of choosing this code when the diagnosis is NOS. The one-to-one crosswalk from [...] - Place of Service:
Solidify Outpatient Claims With Additional Details About New POS 19
Master the definition of campus to avoid errors. You already know that there are changes [...] - You Be the Coder:
Size Up 7th Character Options for Restenosis
Question: We have a question regarding the seventh character on in-stent restenosis code T82.858-. Patient had [...] - Reader Question:
Refresh Yourself on Consult Rules
Question: An ED physician asked for a cardiology consult regarding a patient’s condition and asked the [...] - Reader Question:
Know Where to Look for Mod 57 Support
Question: The definition of modifier 57 is "decision for surgery," so why do I get notices [...] - Reader Question:
Keep Biventricular Upgrade Coding Simple
Question: The cardiologist removed an existing dual-chamber pacemaker generator, replaced it with a new biventricular pacemaker [...] - Reader Question:
Combine MPI 2-Day Services Into 1 DOS
Question: We sometimes use a two-day protocol for resting and stress SPECT scans. Should I report [...]
