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33220-5952

Date: Jul 13, 2011

Question:

We come across a case where the patient scheduled for upgrade of AICD to Bivent AICD however after unsuccessful multiple attempts decided to place only a dual chamber AICD. During the procedure found to have insulation breach proximal to the suture sleeve and was repaired with silicone glue and the old generator explanted. A new atrial lead was placed which attached to the new dual chamber AICD along with the existing RV lead. There are NCCI edits for 33249 and 33220 or 33218 edits can we assign with repair codes with ‘59’? And also in this scenario if we can code the repair which one you suggest 33218/33220?

Thank you for your time.

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