pacemaker

  1. xxxZithxxx

    Wiki Pacemaker/Defib Checks after PM/Defib Insertion/Battery Change

    A patient has a pacemaker/defib inserted or battery/lead changed and 10 days later returns to the office for a routine follow-up visit and pacer/defib check. The follow-up visit would be billed as a post-op 99024, as it is within the 90 day global period. -->But what about the pacer/defib...
  2. D

    Wiki PPM interrogation vs programming?

    We bill to FCSO medicare contractor for global services for pacemaker interrogation and programming. We own all the equipment we use, and we perform interrogation and programming services in our office (POS 11). Our corporate office is instructing us that: A: We are not allowed to bill globally...
  3. danskangel313

    Wiki Pacemaker Electrode Lead Replacement - help with Procedure Codes

    I need some help figuring out how to code for electrode replacement on a pacemaker. This is the scenario I'm trying to decipher: Procedure is an epicardial electrode replacement; both the atrial and ventricular leads are replaced. It's my understanding that you don't code for the removal, only...
  4. G

    Wiki Pacemaker coding ?

    How would you code the following?: Remove old dual chamber pacemaker. Cap Atrial Lead (no charge) Implant new single chamber pacemaker with no lead change. I coded this as 33233 and 33212 and it was denied. The pure replacement codes don't make sense to me though since a different type of...
  5. C

    Wiki PAcemaker IMplant denials due to claim having ICd-10 code R55 on claim

    I realize the NCD 20.8.3 for Pacemaker implants CR9078 states the syncope (R55) is not a covered dx for pacemaker implants. It also goes on to state that claim will be denied if R55 is present even with a qualifying covered DX code. I have some concerns regarding this and I am curious if any...
  6. 1

    Wiki SND and pacemaker

    Saw 2 different posts in regards to my question, both different answers and old posts so was hoping someone can answer this. This is a 6 month regular doc visit. Patient has SND and has a pacemaker. Do we code the SND and/or other cardiac issues or do we assume the pacemaker is doing its job...
  7. L

    Wiki Really need help! New at billing these

    Not sure how to bill this... Would it be 33210 and 33215? Pre-procedure Diagnoses 1. Pacemaker lead malfunction, initial encounter Post-procedure Diagnoses 1. Pacemaker lead malfunction, initial encounter Procedures 1. LEAD REVISION 2. TEMPORARY PACEMAKER INSERTION BRIEF...
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