Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2023. The coding advice may or may not be outdated.

Dual PPM to BIV ICD

Date: Sep 7, 2023

Question:

Upgrade of left-sided dual chamber PPM to dual chamber biventricular ICD, US-guided vascular access, left upper extremity and coronary sinus venography, implantation of LV lead, pocket revision. Mixed cardiomyopathy EF 30-35%, NYHA class III heart failure, AVN ablation with DC PPM in-situ. Per the op report- the RA lead was re-used. The old RV was capped and a new RV lead placed in addition to the LV. 

Would this be coded as 33233, 33249, and 33225? Or 33231 and 33233?

Question ID : 19387
Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!