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CPT® 33224, Under Pacemaker or Implantable Defibrillator Procedures

The Current Procedural Terminology (CPT®) code 33224 as maintained by American Medical Association, is a medical procedural code under the range - Pacemaker or Implantable Defibrillator Procedures.

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Summary

In this procedure, the provider introduces an additional pacing electrode for left ventricular pacing through a vein and advances it to the left ventricle. He attaches the electrode to an existing pacemaker or implantable defibrillator. He may also revise, remove and insert, or replace the existing impulse generator. The provider performs this procedure in patients with a high risk of heart failure who need biventricular pacing to help keep the heart beat in balance.

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Have a question about CPT Code 33224 ? Start a discussion here
Help coding RV lead extraction, new RV lead implant and His lead implant for biventricular pacemaker
Hello, If anyone can help look at this report, to make sure I have captured all the correct codes, I have CPT - 33208, 33234, 33225, the Doctor has 33216, 33233, 33224, 33234, 93662, 33244 Thank... [ Read More ]
Need help - on sameday ICD lead revision
Since the patient did not leave the table, i would not code extra. I would look at possibly added a 22 modifier for the extra work. If the patient had left OR; returned to his room; then had new p... [ Read More ]
Biventricular pacemaker upgrade- documentation
[QUOTE="Jim Pawloski, post: 500070, member: 67434"] Did the doctor exchange the generator, or just insert the LV lead? If the generator wasn't exchanged, I would code 33224. If it was, then 33225 is c... [ Read More ]
Biventricular pacemaker upgrade- documentation
Did the doctor exchange the generator, or just insert the LV lead? If the generator wasn't exchanged, I would code 33224. If it was, then 33225 is correct. 76000 is bundled into pacemaker procedure. H... [ Read More ]
Attempted Bi-V Pacemaker - Only one active lead - Please HELP!!!
Hi there, If the provider documents that they spent a great deal of time and energy in attempting the LV lead placement on cases like this, I typically code these as 33225-74 or -53 if profee, and th... [ Read More ]
Adding new LV lead with pacemaker generator change, old LV lead not removed
[b]New LV lead[/b] 33225 is correct. I don't think I ever used 33224 when I was a coder, and I did EP for 4 years.... [ Read More ]
Adding new LV lead with pacemaker generator change, old LV lead not removed 33224 adding lv lead
Need help please. Our provider changed biventricular pacemaker due to depletion of the battery and noticed that LV lead was not working and inserted new one. it was not removed but new one added. I co... [ Read More ]
Coding PM upgrade to ICD w/ LV lead
[b]PM upgrade to ICD with LV lead.[/b] You are completely correct in your code assignment and your provider, despite being obviously very intelligent, is like a lot of providers.....they think they a... [ Read More ]
Coding PM upgrade to ICD w/ LV lead
I need a 2nd opinion on how to code upgrading a pacemaker to ICD generator with an LV lead. The physician billed for removal of the pacemaker generator, RV lead and LV lead insertion. The codes he... [ Read More ]
Coding for His bundle lead placement
[QUOTE="mhaney, post: 418310, member: 342645"]I am trying to find out the correct way to bill for a His bundle lead placement. Would it be appropriate to bill as LV lead placment 33224? Any suggestion... [ Read More ]
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