Please note this question was answered in 2018. The coding advice may or may not be outdated.
BiV ICD downgrade to BiV pacemaker with left ventricular lead repair
Date: Jan 8, 2018
Question:
"Patient presents with end-of-life biventricular ICD, no longer requiring the ICD. ICD generator is removed and leads checked. The LV lead requires repair using a portion of lead cap and medical silicone adhesive tied on with silicone. A biventricular pacemaker was then implanted." Is the correct coding 33241 for ICD generator removal, 33218 for lead repair, and 33221 for placement of pacemaker generator?
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