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33264, 33225, exchange of dual generator to multilead generator with LVL pl

Date: Mar 29, 2012

Question:

how do we code replacement of ICD generator with attachememt to existing right atrial and right ventricular lead and insertion of new CS lead using 2012 codes. Doesn't 33249 still include insertion or replacement of one or more right leads? Currently 33225 can't be used with 33262, 33263 or 33264. Medtronic and Boston Scientific and 3M all tell me that they are waiting for clarification from AMA on this particular coding scenario. I'm hoping you have more insight because we seem to be doing a flurry of these at the moment. Thanks
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