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93286, 93287

Date: Aug 9, 2012

Question:

When a patient comes in for a PPM or ICD replacement, does 93286 or 93287 apply since the patient is here specifically for a change out? Obviously the original device will have to be turned off.  Also, when a patient is pacer dependent, and only the shock portion of the device is turned off, can you still code the 93287?  In documentation where it is clearly documented that the device was turned off, but not specifically written that is was turned back on, is it still acceptable to code twice with a 59 modifier?
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