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Wiki laser lead removal

Awhitt

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Our facility is looking in to doing a couple of procedures with spectranetics lasers. One is using the laser in peripheral and the other is using it to help with the removal of ppm or icd leads. I understand where the peripheral would be the athrectomy charge but haven't had any sucess in finding a cpt code or otherwise to use for the removal of ppm or icd leads via laser. Has anyone else done this and if so what code do you use?
 
There is no lazer CPT code for lead removals. I bill the lead removal codes (33234 or 33235 for pacemaker and 33244 for ICD) with a 22 modifier for the extra work my physicians does.
 
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