Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2021. The coding advice may or may not be outdated.

Dual PM upgrade to BiVen PM w/Insertion of Additional RV & LV lead

Date: May 24, 2021

Question:

If a patient comes in for an upgrade of a dual chamber pacemaker to a biventricular pacemaker with retention of the RA and RV leads (will be attached to new generator), insertion of a NEW additional RV lead and LV lead, how do you recommend coding this encounter? We are receiving conflicting information between coding as 33229 and 33225 or coding componently as 33233 (removal PM generator), 33207 (insertion new PM with new RV lead - prior RA and RV leads attached to new generator), and 33225 (insert LV lead). Can you please clarify with rationale?

Question ID : 15546
Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!