Wiki Pacemaker coding ?

[Ginger417]

How would you code the following?:

Remove old dual chamber pacemaker.
Cap Atrial Lead (no charge)
Implant new single chamber pacemaker with no lead change.

I coded this as 33233 and 33212 and it was denied. The pure replacement codes don't make sense to me though since a different type of generator was placed.

Thanks!
Ginger

 

[ksaechao]

These two codes cannot be bill together per cci

Do not report 33212, 33213, or 33221 with 33233 for removal and replacement of the pacemaker pulse generator. Bill 33212 only as removal of existing pacemaker is included. Hope that helps.

 

[heart123]

Code 33233 is a column 2 code for 33212, These codes cannot be billed together in any circumstances.
Code 33233 is bundled into code 33212 Code 33233 cannot be billed with 33212.

 

[twizzle]

How would you code the following?:

Remove old dual chamber pacemaker.
Cap Atrial Lead (no charge)
Implant new single chamber pacemaker with no lead change.

I coded this as 33233 and 33212 and it was denied. The pure replacement codes don't make sense to me though since a different type of generator was placed.

Thanks!
Ginger

33227. You code it as a straight generator change utilizing the type of generator they end up with. In this case it is single chamber