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Clarification 33208/33233 vs. 33214 (Re ID:13287)

Date: Jan 15, 2020

Question:

In follow-up to our previous question (Question ID: 13287) titled “Single chamber tv PM replaced w/dual chamber PM generator and L atrial lead,” can you clarify why CPT code 33214 would not be appropriate in this scenario? Is it related to the anomalous patient anatomy (arterial switch) and the new lead being placed in the LA instead of the RA? Code 33214 seems to describe exactly what was executed in our procedure. "Procedure: Patient with single chamber (LV lead) pacemaker, pacemaker generator removed, insertion of new lead to L atrium, and new dual lead pacemaker generator inserted. Existing ventricular lead retained and hooked up to new generator."

Question ID : 13395
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