Please note this question was answered in 2022. The coding advice may or may not be outdated.
Biventricular Upgrade with intraseptal pacing
Date: Jun 1, 2022
Question:
Upgrade of ICD to BiV was attempted - Physician was unable to advance the lead past mid portion of any target vessels so patient was brought back on a different day for "intraseptal pacing.” The lead was fixed in the mid septum. The new lead was then placed in the RV pace sense port and the RV electrode was paced in the LV port of the new device. (There is also an atrial lead that was not moved or changed. Would we still report 33264 with 33225 for the intraseptal pacing?
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