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Thread: Pacemaker Repositioning

  1. #1

    Question Pacemaker Repositioning

    AAPC: CPC Promo
    Our physician repositioned a pacemaker without touching the electrodes as the pacemaker was pushing up against patients collar bone. Would 33215 still be appropriate? Sorry, I do not have a copy of the op note yet!

  2. #2
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    Default

    33215 is repositioning of electrode. I would look at 33222 possibly. Hard to say without op note
    A.Dimmitt, CPC, CIRCC
    Durham, North Carolina

  3. #3

    Default

    Depending on if it was a single chamber or dual chamber I would use either:

    33212 (Insertion or replacement of pacemaker generator only; single chamber, atrial or ventricular)

    OR

    33213 (Insertion or replacement of pacemaker generator only; dual chamber)

    I agree that the op report would be more easier to determine code selection...
    Last edited by TonyaMichelle; 11-30-2011 at 07:57 AM.

  4. #4

    Default

    33222 it is! Thanks.

  5. #5

    Default

    Wouldn't 33215 also exclude the electrode, it states : "Repositioning of previously implanted transvenous pacemaker or pacing cardioverter-defibrillator electrode".

    If it is just repositioning the pacemaker, I would use this code.

  6. #6
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    durham, nc
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    Lightbulb Repositioning pacemaker

    Quote Originally Posted by TonyaMichelle View Post
    Wouldn't 33215 also exclude the electrode, it states : "Repositioning of previously implanted transvenous pacemaker or pacing cardioverter-defibrillator electrode".

    If it is just repositioning the pacemaker, I would use this code.
    33215 would not exclude the electrode, this code is specifically for repositioning of a previously placed right atrial or right ventricular electrode of either a single or dual chamber pacemaker or cardioverter-defibrillator system. If the electrode was not touched then you would not use this code.

    Code 33222 applies when the skin pocket of a pacer (not defibrillator) must be revised or relocated due to some problem with the location.
    A.Dimmitt, CPC, CIRCC
    Durham, North Carolina

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