Lead flouoroscopy with icd implant

[EmilyDingee]

Hello

during an icd gen change (cpt code 33263) lead flouroscopy was performed.

Is this coded with 75791?

Please advise.

Thank you!

 

[Jim Pawloski]

Hello

during an icd gen change (cpt code 33263) lead flouroscopy was performed.

Is this coded with 75791?

Please advise.

Thank you!

Is there a medical reason to use fluoro? Normally, it bundled with generator exchange.

Thanks,
Jim Pawloski, CIRCC

 

[EmilyDingee]

Hi Jim!

Yes, the ICD reached ERI but the advisory lead had "possible insulation breakdown and conductor externalization."

"The leads were inspected and found to have no insulation breakdown. The leads were detached from the ICD and assesssed with the analyzer."

Still bundled?

Thank you!

 

[Jim Pawloski]

Hi Jim!

Yes, the ICD reached ERI but the advisory lead had "possible insulation breakdown and conductor externalization."

"The leads were inspected and found to have no insulation breakdown. The leads were detached from the ICD and assesssed with the analyzer."

Still bundled?

Thank you!

No, I would bill it with the 76000 fluoro charge.

Thanks,
Jim

 

[Jim Pawloski]

No, I would bill it with the 76000 fluoro charge.

Thanks,
Jim

Hi Emily,
I was working on a ICD generator exchange and saw in Dr. Z's book, that if fluoro is used to evaluate leads is done without any other intervention, then you bill 76000. So I would not bill for fluoro because of the generator exchange.
Sorry,
Jim Pawloski, CIRCC