Ask Dr. Z

In your Interventional Cardiology 2023 reference book pg 580 in order to bill for the code 0408T- Optimizer CCM system it would have to be a complete system (generator and leads). A complete system consists of a generator and 3 leads (2 RV and 1 RA leads). If the patient only receives two RV leads placed with the generator, would this still be considered "complete"? If it's not considered complete with just the two RV leads, how you we code this for facility? Thank you.

Clinical indication is: Ischemic Cardiomyopathy (functional class III), her EF 40% and does not meet criteria for CRT therapy.