Results 1 to 6 of 6

Cpt 33210 then two days later 33208..

  1. #1
    Default Cpt 33210 then two days later 33208..
    New Call-to-action
    Hopefully I can explain this right.

    If your physician does CPT 33210 Single chamber Pacemaker Insertion of right ventricular apex.

    Then two days laters does CPT 33208, Insertion of dual chamber pacemaker. Is common to bill CPT 33215 for the repositioning of the previously implanted transvenous pacemaker electrode . Or would this be inclusive.

    Curious to know when CPT 33208 and CPT 33215 would be used during the same session.


  2. #2
    33210 is a temporary pacemaker. If you bill a 33208(permanent atrial and venticular pacemaker) within 72 hours of the temporary, you will lose the temporary. The payor will recoup or ask for a refund for the 33210 if they have paid it. 33215 is repositioning of previously implanted pacemaker or ICD, not replacing it. Hope this helps.

    Dawn, CPC, CCC

  3. #3
    To follow up to this.

    If your physician inserts a Temp Pacemaker CPT 33210.

    Then comes back a day later and decides the patient needs a Dual-Chamber pacemaker CPT 33208. And removes the Temp pacemaker.

    Can you charge for the removal of the temp pacemaker. Or is it inclusive to CPT 33208.


  4. #4
    There isn't a code for the removal of a temporary pacemaker.

    I think (don't quote me) that the work of removing it is included in the temporary pacemaker insertion code because of the fact that the code description says it is TEMPORARY. Since it is temporary it is assumed that it will be removed as well so I think the work of that is included in the code as well. I had read that somewhere I believe.

    Jessica CPC, CCC

  5. Default Cpt 33210 then two days later 33208..
    I have a claim denied by Medicare with the following and am not sure what i have done wrong:
    7/29/10 33217 replaceed atrial lead in perm pacemaker
    8/14/10 33210 put in a temporary pacemaker (permanent was removed by another cardiologist NOT in my group)
    8/18/10 33208 put in a permanent pacemaker

    I know theres a 72 hour window on getting a perm and temp paid but I'm outside of this timeframe. Medicare doesnt want to pay for the 33210 without a 58 or 79...its neither. Can anyone shed some light???


  6. #6
    I would call Medicare and argue the point, since the temp is outside the window of the permanent. Then I would file for redetermination with all of my documentation to back it up.

    Dawn CPC, CCC

Similar Threads

  1. 33208 and UHC
    By Griffith_Tiffany in forum Cardiology
    Replies: 2
    Last Post: 12-19-2014, 09:47 AM
  2. 33208 global inclusions
    By jazzyblues2005 in forum Cardiology
    Replies: 4
    Last Post: 07-16-2013, 07:02 AM
  3. 2002 Global Days - CPT 44005
    By AthensCoder in forum Billing/Reimbursement
    Replies: 4
    Last Post: 04-21-2011, 10:37 AM
  4. Cpt 33208
    By 634sg4fs65g4fg in forum Cardiology
    Replies: 1
    Last Post: 11-10-2010, 04:54 PM
  5. 75860 with 33208
    By jtuominen in forum Cardiology
    Replies: 1
    Last Post: 11-23-2009, 09:10 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?


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.