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Upgrade CRT-P to CRT-D With New RV Lead

Date: Sep 20, 2019

Question:

A patient had a biventricular pacemaker with only an RV and LV lead. They removed the RV lead and placed a new one, kept the existing LV lead, and changed the generator. I believe I should code 33249 and 33233 to account for removal of the pacemaker generator and implant of the new ICD generator and RV lead, but what code would I use for the RV lead removal? Could I use 33234, even though that says it is for a single-lead system?

Question ID : 13041
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