Ask Dr. Z

2012 Pacemaker Procedure Initially a dual chamber generator change. Found fractured lead. So now dual gen change with placement of 1 lead. (Bad lead is capped) We know to use removal code 33233, however there is much confusion after this...... 33208 states insertion of 2 leads, with pacing and sensing in two chambers. 33207 states insertion of 1 lead in ventricle with sensing and pacing in only one chamber. Do we choose these codes by the number of leads inserted or by the number of chambers paced and sensed? Thank you!