Please note this question was answered in 2010. The coding advice may or may not be outdated.
Date: Jun 17, 2010
Question:
Could you please help with the coding of this procedure? I am not sure how to capture everything that was done. The patient has an existing biventricular ICD. The physician replaces the malfunctioning right ventricular lead and respositions the left ventricular lead. I came up with 33216 for the replacement code. He doesn't document that he removed the old lead. I also get 33226 for the repositioning of the left lead. However, 33226 gives me a 0 edit with 33216. Since there will be a device charge for the lead, I need to have 33216 as a procedure, don't I? What is your suggestion? Thanks.
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