Originally Posted by kfelty
Ok according to a webinar I listened to here is the skinny. See what you think
Â· What if we are going from a Dual ICD to a Bivent ICD?
Â· It involves a lead so not a â€śstraight generator changeâ€ť
Â· We have a generator removal
Â· We have an LV lead insertion
Â· But we didnâ€™t put in a â€śsystemâ€ť - just added an LV lead and new generator - Now what?
Â· In response to how we would bill for an LV lead insertion and the associated generator change the proposed solution:
Â· Use the new generator change only codes, but then also bill for the LV insertion
Â· This is a bit of an â€śexceptionâ€ť in that the procedure does involve a lead insertion â€“ but since it does not involve a right side lead you canâ€™t use the â€śsystemâ€ť codes and then add on to those
Â· If the procedure did also involve a right side lead insertion, then you would use the system insertion codes plus the LV lead
Will This Cause Problems?
Â· Most likely the addition of an LV lead to the new generator change codes will experience claims issues
Â· The LV lead code is not listed as adding on to the generator change out codes
Â· It is anticipated that a CPT Assistant article will soon be available, there should also be comments on the HRS and ACC web sites
Â· Use these resources to address claims denials
Theresa CCS-P CPMA CCC ICDCT-CM