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33249

Date: Aug 24, 2020

Question:

Patient had a CRTD initially placed, then developed an infection and the PG and leads were removed. Once the infection was resolved at a later date a new CRTD system was implanted. Insurance is denying 33249, as patient no longer meets NYHA Class II, as during the time of having the CRTD he improved. Should this be coded as a 33249? Or is there a more appropriate coding scenario for a system removal and new system implant at a later date post infection?

Question ID : 14351
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