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Thread: help with PM and ICD coding

  1. #1
    Join Date
    Apr 2007

    Default help with PM and ICD coding

    AAPC: Back to School
    I am new to cardiology coding, and was wondering if somone can help me with the following coding scenarios-
    (2011 coding)

    transvenous ICD implantation for either a single or dual chamber device
    33216 (single) or 33217(dual) and 33240

    insertion of biventricular pacemaker codes either new or upgrade (transvenous)
    33207,33224, and 33212 for the generator

    Can someone let me know if this is correct?

    Thanks so much!!!!

  2. #2

    Default Help with PM/ICD coding

    Insertion of a new dual or single ICD including lead/leads - 33249
    33216/33217 is for the insertion of an additional lead/leads to an existing device.
    33240 is used when you change out a device and implant a new one, such as a device that has reached end of life.

    Insertion of new bivent pacer - 33208/33225
    33207 is for a single device pacer - bivents are dual devices
    33212 would be used for just a device change out such as end of life
    33224 would be attaching the 3rd lead to a previously placed device

    I would recommend the Coding Guide for Heart Rhythm Procedures & Services - www.HRSonline.orgwww


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