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EP coding: ICD lead and generator revision/replacement

  1. Default EP coding: ICD lead and generator revision/replacement
    Medical Coding Books
    I'm looking for a little clarification on some codes.
    If the patient already has an existing generator and they come in for a replacement of the leads and the generator, what codes should we be using.
    I see 33249, which is Insert/reposition of lead for single/dual and insert of pulse generator.
    But I also see:
    33244: removal of ICD leads single/or dual
    33216: insertion of lead for single chamber
    33241: removal of single/dual generator
    33240: insert single/dual generator

    The booking slip says "ICD Lead revision and generator change"

    When do you use just the 33249 and when do you use the 4 separate codes?

  2. Default
    I was able to answer my own question by watching a webinar from Boston Scientific. 33249 is a 'package' code of 33240 and 33216/33217 when all done at the same time.

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