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RV lead replacement

  1. #1
    Default RV lead replacement
    Medical Coding Books
    It looks like 33225 is just for a LV lead replacement? Is this so?

    What if the RV lead is replaced at time of gen change?

  2. #2
    Location
    Manhattan, NY
    Posts
    390
    Default
    33225 assumes that a primary code is billed in addition.... Use 33225 in conjunction with 33206, 33207, 33208, 33212, 33213, 33214, 33216, 33217, 33221, 33222, 33230, 33231, 33233, 33234, 33235, 33240, and 33249. You can decide how to proceed from there....

  3. #3
    Default
    Right...Defib gen change also...

    so 33240 New gen insert
    33241 Removal

    But can you bill 33225 for RV lead replace...it looks like it is just for LV lead???

  4. #4
    Location
    Manhattan, NY
    Posts
    390
    Default
    If you do not mind, it would be a lot easier to assist if you post the medical note. Please delete the name, MRN, DOB, and any other patient detail in the note.

  5. #5
    Default
    I cant post the report at the moment

    It is just:

    defib gen remove
    gen replacement
    new RV lead placed, old one left in place and capped.

  6. #6
    Location
    Gastonia North Carolina
    Posts
    6
    Default
    33225 is only for the LV lead. Codes 33241 and 33249 cover the generator removal and placement. The RV lead was capped and not removed so that isn't charged for. The code 33249 includes the placement of the RV lead. Also, if Defibrillation Threshold Testing is dictated, you can charge 93641. I hope this helps.
    Tanya
    CPC,CCC

  7. #7
    Default
    I thought about that as well, but 33249 also includes the gen insert.

    So would i just bill 33249 and 33241 for removal?

  8. #8
    Location
    Gastonia North Carolina
    Posts
    6
    Default
    Yes, anything removed and inserted is charged for. The 33241 is for the removal only and then the 33249 is for the new generator and leads.

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