DDDR Pacer

kmdavey

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Not sure how to code:
Day 1) Dr codes 33208 w 71090-26
day 2) He sends note- "new lead, reposition lead" I reviewed dictationa and it states
"We now inserted a new 7-French
longer lead to the apical region of the right ventricle and had great
difficulty finding good pacing numbers. Both the new lead had to be
repositioned several times. "

Would I use the 33208-with a 52 modifier or is it 33220??
Thanks for your answers.
 

jewlz0879

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If he is truly repairing those leads I would use 33220 and not 33208 - 52. I would use this code over the 33208 with the 52 because I think it more closely captures the work and there is no insertion of a PPM since he already did that. You will need a 78 on 33220 since 33208 has a 90 day global.

But it looks like he is repositioning. Have you looked at 33215?
 

jewlz0879

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If you look under "Pacemaker or Pacing Cardioverter-Defibrillator" in CPT it will direct you on what to do for 'Repositioning.' Mine is on pg. 170. Hope that will help
 

kmdavey

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If you look under "Pacemaker or Pacing Cardioverter-Defibrillator" in CPT it will direct you on what to do for 'Repositioning.' Mine is on pg. 170. Hope that will help
Thanks Julie- 33215 does look more appropriate-
Thanks again :)
 
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