Ask Dr. Z

"An incision was made over the prior scar. Bovie dissection was used to enter the device pocket. It was quite superficial. The device was removed from the pocket. We then carried the Bovie incision down to the prepectoral plane to allow for a more ergonomically friendly location. We then dissected the leads as proximal as we could. The two baroreceptor leads were then cleaned, dried, and affixed to the new pulse generator with the wrench provided."

Manufacture reimbursement guide (facility billing) suggests using T0268 for baroreceptor generator replacement (Barostim). MD stated that this procedure should be coded as a dual-chamber ICD per national norms. I am not sure if it is appropriate to use 33263 for this procedure.