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33249 vs. 33264

Date: Jul 25, 2013

Question:

A SC ICD, RV lead, (that is under advisory), and an old capped RV lead were removed. Then a CRT-D, RV, RA, and LV leads were inserted. This was for physician only. Would the appropriate codes be 33249, 33241, 33244, and 33225? Or 33264, 33244, and 33225? Are the removal and replacement codes used only when no leads other than LV are inserted, adding 33225 to 33264 if LV lead is inserted? And would this be coded the same for both physician and hospital?

Question ID : 4947
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