bootsiecromwell
New
I am a physician coder for Vascular Surgery & Med Cardio. When coding pacemaker encounters for example my physicians would report:
33207 Insertion or replacement of pacemaker; ventricular
33206 Insertion or replacement of pacemaker; atrial
33213 Insertion or replacement of pacemaker pulse generator only
33210 Insertion or replacement of temporary pacemaker catheter
71090 x2 Insertion pacemakers S&I
My question I suppose is how can they use permanent pacemaker codes, which guidelines specify (on page 144 and the top right hand side)that codes 33206-33208 include subcutaneous insertion of pulse generator & transvenous placement of electrodes, and also report temporary codes 33213 & 33210 on the same encounter. Would this be over coding? When I put the codes in Custom Coder (scrubber) it only flagged that I use modifiers on code 33207, 33213, & 33210. I will be waiting for your view.
33207 Insertion or replacement of pacemaker; ventricular
33206 Insertion or replacement of pacemaker; atrial
33213 Insertion or replacement of pacemaker pulse generator only
33210 Insertion or replacement of temporary pacemaker catheter
71090 x2 Insertion pacemakers S&I
My question I suppose is how can they use permanent pacemaker codes, which guidelines specify (on page 144 and the top right hand side)that codes 33206-33208 include subcutaneous insertion of pulse generator & transvenous placement of electrodes, and also report temporary codes 33213 & 33210 on the same encounter. Would this be over coding? When I put the codes in Custom Coder (scrubber) it only flagged that I use modifiers on code 33207, 33213, & 33210. I will be waiting for your view.