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Wiki Pacemaker generator

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brittany1356

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Rapid City, SD
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Hello. I am coding a pacemaker generator at end of life, the physician replaced the generator only. I am reporting 33213 and 33233 everywhere I look says that I need modifier 51 appended to the removal of the generator, however I am being told that it is not neccessary. Any suggestions?

Also, diagnotic coding for this procedure is leading me to V53.31 because it is not a malfunction or any other complications the pacer generator is simply at "end of life". Thank you for your help!

Brittany, CPC-A
 
No, you do not need a modifier for those codes. The guidelines instructs you to code the removal with the replacement and the V code looks good to me.
 
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