Cardiology Coding Alert

Question: How should I code the following services from a single operative note? Incision along deltopectoral groove Pacer pocket created Guidewires advanced in the left subclavian via pacer pocket (modified Seldinger) Ventricular pacer defibrillator lead advanced to the right ventricle and fixated (threshold parameters documented) Right atrial lead fixated in right atrium (threshold parameters documented) Leads attached to Teligen ICD Device placed in pocket and pocket closedIndiana SubscriberAnswer: One code describes all of these services: 33249 (Insertion or repositioning of electrode lead[s] for single- or dualchamber pacing cardioverter-defibrillator and insertion of pulse generator).Watch for: If you have additional documentation that the cardiologist provided fluoroscopy, remember to report 71090-26 (Insertion pacemaker, fluoroscopy and radiography, radiological supervision and interpretation; professional component).And if the cardiologist performs an evaluation, you can report one of the following two codes at the time of an AICD insertion:93640-26 -- Electrophysiologic evaluation of singleor dual-chamber pacing cardioverter-defibrillator leads including [...]