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One of my physicians is now using the Impella pump and I am unsure if I am coding this properly. The two codes to use, 33975 for insertion, and 33977 for removal are the correct codes but the prices seem quite high. The hand out from the maker of this pump from Abiomed also provides the same codes with -52 for reduced services. Why would we bill for reduced on these codes and am I correct in billing these two codes? Any help is appreciated! Thank you, Gail.