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33206 with 33233 and 33225, 33229 and 33225

Date: Feb 24, 2012

Question:

I have two questions in regard to the new generator replacement codes for January 2012. If a patient has a BIV pacemaker and presents for a generator change but ends up having the RA lead replaced. Old lead was capped. What codes should we use? (33206 because a single lead system was newly implanted and 33233 for generator removal?) If a patient presents for an upgrade from a dual chamber pacemaker to a BIV pacemaker and the only new insertion is the LV lead should we use the dual chamber generator change or the multi lead generator change in addition to the insertion of the LV lead code?
Question ID : 3505
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