Cardiology Coding Alert

Reader Questions:

Focus on This Lead Revision Scenario

Question: When the patient was appropriately prepped and anesthetized, the cardiologist accessed the previously created pocket for the cardiac device generator. They removed the pulse generator and tested that the generator and electrode were functioning correctly. When the cardiologist determined there was no defect in the equipment, they replaced the generator, reattached the electrode to the generator, and placed the electrode in a new, corrected position. They tested the device again to ensure it was functioning correctly. Finally, the cardiologist placed the generator back into its previous position and closed the cardiac device pocket. Which code should I report on my claim?

Pennsylvania Subscriber

Answer: You should report 33215 (Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode).

Don’t miss: Only report this code for the repositioning of a previously implanted transvenous pacemaker or implantable defibrillator.