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33225 Failed Left Ventricular Lead Placement

Date: Feb 12, 2014

Question:

We had a patient for an initial biventricular ICD insertion. The left ventricular lead was a necessity, so when the attempt to place the left ventricular lead failed, the whole procedure was aborted. Nothing was done but the left ventricular lead attempt and a venogram (which I do not usually charge for). I reported code 33225-74. Medicare has rejected it for lack of a primary procedure. How should I have coded this?

Question ID : 5376
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