A patient already has a bi-ventricular pacemaker. The physician discovers that the Left Ventricular Lead has become dislodged. When he performed the surgery, instead of just repositioning the lead, he removed it and put in a new one. The same pacemaker was put back in.
I'm having trouble narrowing down CPT because the lead was replaced and not repaired or repositioned, and the patient was not getting an upgrade because he already has a bi-ventricular system. None of the CPT codes seem to accurately describe what was actually done.
Can I get some guidance? Would I bill 33235 and 33216? Is 33226 a better choice because of the type of lead?
Thanks,
I'm having trouble narrowing down CPT because the lead was replaced and not repaired or repositioned, and the patient was not getting an upgrade because he already has a bi-ventricular system. None of the CPT codes seem to accurately describe what was actually done.
Can I get some guidance? Would I bill 33235 and 33216? Is 33226 a better choice because of the type of lead?
Thanks,