Question: My cardiologist removed an ICD lead, replaced it with a new one, and then tested it after he hooked the lead up to the generator. Which codes should I be using for this? Answer: Although you need to provide more information to receive the accurate codes, generally you would report: Your cardiologist most likely performed an EP study to test the defibrillation threshold of the device and to confirm it was implanted and programmed appropriately. - You Be the Coder and Reader Questions were prepared with the assistance of Jim Collins, ACS-CA, CHCC, CPC, president of Compliant MD Inc. and compliance manager for several cardiology groups around the country; and reviewed by Jerome Williams Jr., MD, FACC, a cardiologist with Mid Carolina Cardiology in Charlotte, N.C.
New Mexico Subscriber
For this service, you should report 93641 (Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation [induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination] at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator).