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Pacemaker Insertion with Cardioversion

laurap

Networker
Messages
36
Best answers
0
We have a physician who performed a dual chamber pacemaker insertion (CPT code 33208) with an intraoperative cardioversion (CPT code 92960).

There are CCI edits in place for these codes, but a modifier is allowed to overide the edits.

My question is: When is it appropriate to use the modifier and bill these codes together?

Any help would be appreciated.


Thank you,

Laura L. Porter, CPC
Jamestown Area Medical Associates
 

twizzle

True Blue
Messages
1,127
Location
Sarasota FL
Best answers
0
We have a physician who performed a dual chamber pacemaker insertion (CPT code 33208) with an intraoperative cardioversion (CPT code 92960).

There are CCI edits in place for these codes, but a modifier is allowed to overide the edits.

My question is: When is it appropriate to use the modifier and bill these codes together?

Any help would be appreciated.


Thank you,

Laura L. Porter, CPC
Jamestown Area Medical Associates
It depends on the circumstances as to why they did a cardioversion. If the pacer implant procedure caused the patient to go into a-fib and they cardioverted the patient you cannot bill it. The same goes for EP procedures.
If the intent before the surgery was to do a pacer implant and a cardioversion, it would be appropriate to unbundle them with a 59 and bill both procedures.
No guarantee the cardioversion would pay though.
 

laurap

Networker
Messages
36
Best answers
0
Thank you for your responses!

Laura L. Porter, CPC
Jamestown Area Medical Associates
 
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