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

Date: May 24, 2021


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?

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