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33263, 33216 generator exchange with pacing lead placement

Date: Nov 6, 2012

Question:

I have an unusual situation. I had a doctor bring in a patient for a dual lead ICD generator replacement. During the procedure he decided to replace the RV lead, but replaced it with a PM lead instead of an ICD lead. Is this still coded as 33249? It has been suggested we code this as 33263 and 33216, but I'm not sure this is correct (although it would solve the issue with this account hitting device to procedure code edits). I can find no guidance on which is the appropriate way to code this. Your help with this would be greatly appreciated!!!
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