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Cpt 33217

  1. #1
    Default Cpt 33217
    Medical Coding Books
    New to pacemaker coding: My question is over CPT 33217, is this inclusive to CPT 33208.
    Or for the procedure listed, is my coding correct. (FYI first time patient ever had the procedure done)




    Procedure:

    1) DDD pacemaker placmenet
    2) Atrail Ventriclular lead placement
    3) Intraoperative lead testing
    4) Flurosocopy of the leads



    33208
    Insertion or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular
    33217
    Insertion of 2 transvenous electrodes, permanent pacemaker or cardioverter-defibrillator
    71090.26
    Insertion pacemaker, fluoroscopy and radiography, radiological supervision and interpretation

  2. #2
    Default
    You should only need the 33208 and the 71090. The 33208 covers the placement of a new pacemaker with leads, generator and testing. It is all covered by this one code
    Jessica Chandler CPC, COC, CPC-P, CPB, CCC
    Charleston, WV

  3. #3
    Default
    33217
    Insertion of 2 transvenous electrodes, permanent pacemaker or cardioverter-defibrillator


    Can you give me a little background on this code (CPT 33217), when and why would you use this code on the same day as CPT 33208.



    Thanks
    Daniel,CPC

  4. #4
    Default
    33217 is for insertion of electrodes to a already placed generator. For instance if the generator is okay and still working properly but both of the leads are bad or not functioning they would go in and insert 2 new leads and leave the generator in place. The same could be said for code 33216 only it is for 1 lead instead of 2.

    Code 33215 is if they go in and reposition the lead but no don't remove it. 33217 is just insert of 2 new leads only. Generator remains the same and doesn't get removed.
    Hope this helps.
    Jessica Chandler CPC, COC, CPC-P, CPB, CCC
    Charleston, WV

  5. #5
    Default
    This helps, you cleared this up for me.

    Thanks

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