Please note this question was answered in 2019. The coding advice may or may not be outdated.
Biventricular ICD Changed to a Biventricular Pacemaker
Date: Dec 5, 2019
Question:
Patient presents with biventricular ICD …. Due to her current condition(s), the physician decides to change to a biventricular pacemaker and uses the existing leads. When you gave an example in January 2018 transposing the type of generator change, your printout states to code the PM generator removal (33233) and the ICD generator attached to existing leads as 33240, 33320, or 33231, as appropriate. This would imply the opposite coding would be 33221 and 33241. Can you provide any insight?
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