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Pacemaker Assist

Date: May 17, 2023

Question:

Hello!

This is regarding Pro-Fee coding only for which we code services for all doctors involved: Physician inserted a new Trans-venous trans-pulmonary pacemaker with lead at the epicardial left atrium via a trans-artery approach for which I came up with 33206. Problem is that 33206 does not allow for assistants (mod 80) but our physician actually had TWO, only one is documented as being an actual assistant though.

All three physicians are part of the Pediatric Cardiology department.

Dr. A is the primary and gets the 33206.

Dr. B is the documented assistant to the procedure and is also credited specifically with helping with the intracardiac echo.

Dr. C is not listed as an assistant but did come in and "assist" by performing a biplane angiogram with pigtail cath in the left pulmonary artery.

Assuming 33206 is the correct code, is there anything we can code for physicians B and C?

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