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Is KX modifier used on 33206-33208 for gen replacement w/ lead

Date: Aug 5, 2020

Question:

The NCD for the -KX modifier is regarding the initial placement of pacemakers and specifically states that the NCD does not address replacement of pacemaker generators, CPT codes 33227, 33228, 33229, and 33233. My understanding of this is that we do not use -KX modifier on those four CPT codes. My question is for 33206-33208 when the generator is replaced AND a lead is placed/replaced in the same setting. Technically, this is still a replacement, but it codes out to a new device CPT. Would the -KX modifier be required or omitted in this circumstance?

Question ID : 14288
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