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Upgrade from a Dual PPM to BIV PPM

Date: Sep 23, 2022

Question:

We are getting conflicting answers as to what to code for an upgrade from a dual PPM to biventricular. Physician took out generator and replaced with new generator and added an RV lead. One of our coders suggested 33228 (dual generator change) and 33225 (insert biventricular lead). I was thinking 33213 (insert PPM generator with existing dual leads) and 33225. Can you please help us?

Question ID : 17744
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