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ICD Gen replacement/pocket revision

  1. #1
    Default ICD Gen replacement/pocket revision
    Medical Coding Books
    Can someone help me with this one.. and is there enough documentation to really code the pocket revision?

    TYPE OF PROCEDURE:
    Generator pin replacement and pocket revision.

    PROCEDURE: After the procedure was explained and the risks and
    benefits were explained the area of the left clavicle was prepped
    and draped in a sterile fashion. 1% Xylocaine was infiltrated. A
    3-cm incision was made. The generator was taken out. The LV
    lead on the generator the plug was taken out, an adaptor was
    placed, and the LV lead area attached it to the LV lead. After
    this testing was done and found to be adequate. Subcutaneous
    tissues were sutured in a continuous manner using 2-0 Vicryl. The
    pocket was revised a little bit. Steri-Strips were placed. LV
    lead threshold was 1.25 volts 310 ohms. We put an Oscor lead
    adapter, model #BLV/BIS-4403, serial #BIU65602. The patient
    tolerated the procedure well.


    thanks!!

  2. Default
    Quote Originally Posted by sslater View Post
    Can someone help me with this one.. and is there enough documentation to really code the pocket revision?

    TYPE OF PROCEDURE:
    Generator pin replacement and pocket revision.

    PROCEDURE: After the procedure was explained and the risks and
    benefits were explained the area of the left clavicle was prepped
    and draped in a sterile fashion. 1% Xylocaine was infiltrated. A
    3-cm incision was made. The generator was taken out. The LV
    lead on the generator the plug was taken out, an adaptor was
    placed, and the LV lead area attached it to the LV lead. After
    this testing was done and found to be adequate. Subcutaneous
    tissues were sutured in a continuous manner using 2-0 Vicryl. The
    pocket was revised a little bit. Steri-Strips were placed. LV
    lead threshold was 1.25 volts 310 ohms. We put an Oscor lead
    adapter, model #BLV/BIS-4403, serial #BIU65602. The patient
    tolerated the procedure well.


    thanks!!
    I do not believe this is enough for billing pocket revision. Typically the only time you can bill pocket revision is when the purpose of the surgery is for the revision of the pocket like infected pacemaker pocket or patient is uncomfortable(pain) etc. If there is another reason for surgery then most times you should not.
    Theresa CCS-P CPMA CCC ICDCT-CM

  3. #3
    Default
    Quote Originally Posted by theresa.dix@ethc.com View Post
    I do not believe this is enough for billing pocket revision. Typically the only time you can bill pocket revision is when the purpose of the surgery is for the revision of the pocket like infected pacemaker pocket or patient is uncomfortable(pain) etc. If there is another reason for surgery then most times you should not.
    So for the ICD gen removal and lead revision would I be correct in billing the

    33241
    33240
    33218
    93641-26

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