Wiki bi-v generator change w/new RV lead insert

[lmbroomall]

Pt was due to have the Bi-V generator change adn the RV lead was found to not be working.
Bi-V generator was taken out, the RV lead was capped and a new RV lead inserted. a new bi-v generator was inserted.

I am coming up with 33216 and 33264. is this right??

 

[jewlz0879]

It is my understanding that 33262-33264 indicates an old generator is removed and a new generator only is placed.

Based on that information, I think I would go with 33249 & 33233.

33249 Is for insertion or replacement of ICD system with lead(s).

Since a new RV lead was placed, I would select 33249.

Does that help?

 

[RKN122306]

If the lead is a left ventruicular lead placed within the coronary sinus code 33225 and 33264. If its a right atrial or right ventricular use the 33216 and 33264

Hope this helps

 

[Jess1125]

It is my understanding that 33262-33264 indicates an old generator is removed and a new generator only is placed.

Based on that information, I think I would go with 33249 & 33233.

33249 Is for insertion or replacement of ICD system with lead(s).

Since a new RV lead was placed, I would select 33249.

Does that help?

I agree with Julie on this one.

Jessica CPC, CCC

 

[twizzle]

Pt was due to have the Bi-V generator change adn the RV lead was found to not be working.
Bi-V generator was taken out, the RV lead was capped and a new RV lead inserted. a new bi-v generator was inserted.

I am coming up with 33216 and 33264. is this right??

Pacemaker or ICD?