Results 1 to 8 of 8

Rv lead extraction & implant biv upgrade

  1. Smile Rv lead extraction & implant biv upgrade
    Medical Coding Books
    hello,
    I'm having a problem coding the above, any help would be greatly appreciated..
    thanks,
    Kelly Proctor, CPC

  2. Default
    What is your question and do you have the report?

  3. Question
    Hello,
    Thanks for answering, I do have the report, and the procedure is RV Lead extraction and Implant of BIV upgrade..It looks like he had an AICD, and is being upgraded.
    thanks,
    Kelly

  4. Default
    W/O looking at the report it is hard to help you with the codes. Was the lead removed and not capped? when replacing the ICD unit how many leads were inserted? Did the doctor remove the generator or previous device? was fluoroscopy guideance indicated? Was DFT performed after the ICD insertion or the next day? What is the reason for replacing the ICD, battery depletion or other causes. All these components can be coded if supported in the report.

    Dolores, CPC, CCC
    Last edited by deeva456; 05-14-2009 at 04:45 PM.

  5. Default
    hi dolores,
    Ok, Brief rundown,
    the pulse generator was removed, and old leads were disconnected.
    The chronic RV lead was extracted, attention was then turned to the new RV
    lead. the lead was placed into the right ventricular apex under fluoroscopic guidance.
    The generator was inserted into the pocker. Only one lead is ever mentioned in the Op report..
    Defiibrillation testing was done..
    I know the 71090-26, and a Biv code 33224 or 33225??
    But i'm not sure of the others..thanks, kelly

  6. Default
    Quote Originally Posted by kproctor View Post
    hi dolores,
    Ok, Brief rundown,
    the pulse generator was removed, and old leads were disconnected.
    The chronic RV lead was extracted, attention was then turned to the new RV
    lead. the lead was placed into the right ventricular apex under fluoroscopic guidance.
    The generator was inserted into the pocker. Only one lead is ever mentioned in the Op report..
    Defiibrillation testing was done..
    I know the 71090-26, and a Biv code 33224 or 33225??
    But i'm not sure of the others..thanks, kelly


    Ok, based on what you wrote, here are the codes:

    33249 -insertion or repositioning of electrode leads - single/dual chamber ICD and pulse generator.
    33241 - subcutaneous removal of single/dual chamber pacing ICD pulse generator (assuming removal was done this way)
    33244 - removal of single/dual chamber ICD lead(s) by transvenous extraction
    71090-26 - fluoroscopy
    93641-26 - DFT testing ( if done after the ICD implant)

    You would not bill 33224 or 33225 because this is for the left ventricle.

    Good luck!

    Dolores

  7. Smile
    Thanks so much,
    Kelly

  8. Default 33244-Cardiology
    We have a CPT code 33244 for "Removal of single or dual chamber pacing cardioverter-defibrillator electrode(s); by transvenous extraction ". What code is needed for removal of additional lead from rt ventricle. The pt has 3 leads removed (1 in right atrium and 2 in right ventricle) coded 33244 for two leads. What should be coded for the third lead removal.

    Thanks

Similar Threads

  1. upgrade to biv help
    By KHYATT@2016 in forum Cardiology
    Replies: 2
    Last Post: 03-04-2015, 12:22 PM
  2. Attempted Upgrade ICD to BiV-Help Please
    By bevann0402@bellsouth.net in forum Cardiology
    Replies: 3
    Last Post: 12-15-2014, 11:56 AM
  3. BiV upgrade
    By mdm58 in forum Cardiology
    Replies: 1
    Last Post: 09-26-2012, 04:32 AM
  4. Upgrade Single to BiV Pacer - no Atrial
    By cargo in forum Cardiology
    Replies: 2
    Last Post: 02-25-2012, 07:39 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.