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33206 33225 33233

Date: Apr 24, 2012

Question:

Dr Z, I have a question in regard to the new generator replacement codes for January 2012. A patient has a dual-chamber pacemaker with a malfunctioning atrial lead and came for replacement of the lead. However, due to worsening of the patient's condition, they also decided to upgrade to a bi-vent pacemaker at the same time with insertion of the LV lead. Is it appropriate to code as 33206, 33233 and 33225 since a new Atrial lead was also inserted or should we report with new CPT 33229 along with 33225? Thanks.
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