Cardiology Coding Alert
Reader Questions:
Find Out How to Handle Pulse Generator Replacement
Published on Fri Aug 27, 2021
Question: My cardiologist performed a biventricular generator change. According to the medical documentation, it had a right and a left ventricle lead. What code should I report? Ohio Subscriber Answer: You should report code 33228 (Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system). This code matches your scenario because it is a dual lead system. On the other hand, if there was also an atrial lead, making it a multiple lead system, you would report code 33229 (Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system) instead.
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