Results 1 to 4 of 4

DDDR Pacer

  1. #1
    Unhappy DDDR Pacer
    Medical Coding Books
    Not sure how to code:
    Day 1) Dr codes 33208 w 71090-26
    day 2) He sends note- "new lead, reposition lead" I reviewed dictationa and it states
    "We now inserted a new 7-French
    longer lead to the apical region of the right ventricle and had great
    difficulty finding good pacing numbers. Both the new lead had to be
    repositioned several times. "

    Would I use the 33208-with a 52 modifier or is it 33220??
    Thanks for your answers.

  2. #2
    Location
    Richardson, TX
    Posts
    823
    Default
    If he is truly repairing those leads I would use 33220 and not 33208 - 52. I would use this code over the 33208 with the 52 because I think it more closely captures the work and there is no insertion of a PPM since he already did that. You will need a 78 on 33220 since 33208 has a 90 day global.

    But it looks like he is repositioning. Have you looked at 33215?
    Julie Graham, BA, CPC, CCC

  3. #3
    Location
    Richardson, TX
    Posts
    823
    Default
    If you look under "Pacemaker or Pacing Cardioverter-Defibrillator" in CPT it will direct you on what to do for 'Repositioning.' Mine is on pg. 170. Hope that will help
    Julie Graham, BA, CPC, CCC

  4. #4
    Default
    Quote Originally Posted by jewlz0879 View Post
    If you look under "Pacemaker or Pacing Cardioverter-Defibrillator" in CPT it will direct you on what to do for 'Repositioning.' Mine is on pg. 170. Hope that will help
    Thanks Julie- 33215 does look more appropriate-
    Thanks again

Similar Threads

  1. pacer denials
    By sandya in forum Cardiology
    Replies: 3
    Last Post: 07-15-2015, 12:29 PM
  2. Temporary Pacer Insertion followed by Dual Chamber Pacer Insertion
    By breannam4 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-11-2014, 11:05 AM
  3. Backup Pacer
    By mhart in forum Anesthesia
    Replies: 1
    Last Post: 05-15-2014, 08:57 AM
  4. pacer help please
    By KHYATT@2016 in forum Cardiology
    Replies: 0
    Last Post: 06-08-2013, 10:02 AM
  5. AV Pacer help!
    By KHYATT@2016 in forum Cardiology
    Replies: 3
    Last Post: 10-22-2012, 01:33 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?

Login

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.