Results 1 to 6 of 6

Repositioning of ICD Gen and Leads

  1. #1
    Unhappy Repositioning of ICD Gen and Leads
    Medical Coding Books
    Wondering how others may code this situation--

    Patient needs his existing ICD system moved from the right to left side of his body in order to receive radiation therapy for lung cancer. The existing ICD is removed, along with his RA and RV lead. A new pocket is made and the devices are then reinserted on the other side of the patients body. No new devices are implanted.

    Would code this to 33249? or 33215/33223 even though there is a CCI edit? Or 33999? Any other ideas? Help!

  2. #2
    grand canyon(PHX)
    i would probally bill 33241 for taking the generator out and then if you are sure they took the leads out and not just capped them and left them there,

    then bill 33244 for removal of both leads and then i would bill for 33249. the doctor is doing all the work and he can bill all of this as long as the documentation is there.

    hope this helps

  3. #3
    Thanks, I agree with your codeset, but since I am a facility side coder I bet this will get denied anyway since I will not have the matching HCPCS device codes. We'll see what happens!

  4. #4
    You will get denied if this is Medicare. Medicare has the procedure to device edit. I would check with your Insurance Contract or call the Insurance Company just to make sure you do not get reimbursed for the device again as this would be inappropriate. Your codes are right. 33241, 33244, 33249

  5. #5
    wow. thanks for that tip. I didn't even think about that. I will check into their insurance carrier. Our processes are so compartmentalized where I work I am not involved in any of claim submission or denial process after I code cases, so that wouldnt have even crossed my mind. I am still new at facility coding, so Thanks!

  6. #6
    As a follow up I ended up contacting the patients insurance company (BCBS) and they recommended that the unlisted procedure code be billed instead of the codeset detailed above. 33999 with report.

Similar Threads

  1. Defib Gen Changed to PPM Gen
    By lcouto in forum Cardiology
    Replies: 5
    Last Post: 01-23-2015, 10:14 AM
  2. Repositioning of Previously Implanted ICD Report
    By em2177 in forum Cardiology
    Replies: 0
    Last Post: 05-21-2012, 09:49 AM
  3. ICD Gen replacement/pocket revision
    By sslater in forum Cardiology
    Replies: 2
    Last Post: 07-08-2011, 12:02 PM
  4. Gen Surgery Conference
    By cooper1 in forum General Surgery
    Replies: 1
    Last Post: 06-29-2011, 07:23 AM

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?


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.