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when to use 33228 vs 33229. 33263 vs 33264 (pt has leads in RV & LV only)

Date: Nov 14, 2023

Question:

Need clarification on how to code the following: Our EP doctor brought a patient in for a CRT-D generator change. Patient has only two leads. One in the RV and the other in LV. Physician office thinks 33228 is more appropriate since there are only two chamber/leads used. I thought CPT assistant clarified that a multi-lead is system with leads in three or more chambers OR a CRT -device. Would 33229 not be the more appropriate code to use?

Question ID : 19595
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