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PPM 2 Dislodged leads removed, Implant 1 new, 1 lead Re-used

Date: Mar 13, 2023

Question:

The physician implanted a dual PPM a few days before, and both the RA and RV lead became dislodged. Patient was brought back, and the physician completely removed both leads. He then implanted a new RV lead and re-used one of the leads he removed from the RV and implanted it back into the RA. For the hospital, we billed 33235, 33216, and 33215-XU. Do you agree with this coding? Do these codes cover the work performed adequately? Our issue was making sure the CPT codes aligned with the work performed as well as supplies billed.

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