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Old 11-30-2011, 06:59 AM
amym amym is offline
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Question Pacemaker Repositioning

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!
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Old 11-30-2011, 07:44 AM
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33215 is repositioning of electrode. I would look at 33222 possibly. Hard to say without op note
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Old 11-30-2011, 07:53 AM
TonyaMichelle TonyaMichelle is offline
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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.
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Old 11-30-2011, 08:35 AM
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33222 it is! Thanks.
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Old 12-01-2011, 01:27 PM
TonyaMichelle TonyaMichelle is offline
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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.
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Old 12-02-2011, 07:04 AM
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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.
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