Please note this question was answered in 2022. The coding advice may or may not be outdated.
Unsuccessful implant of Leadless PPM w/transvenous PPM
Date: Aug 31, 2022
Question:
One of our physicians attempted to implant a leadless PPM with resultant cardiac perforation/tamponade. Leadless PPM was removed. Pericardial drain was placed (33017). After patient was stable, a tranvenous PPM with dual leads was placed (33208).
Would it be appropriate to code for the removal of the leadless PPM 33275 or insert of the device 33274 with modifier -74? Here are the codes I was thinking: 33275, 33017, 33208.
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