Please note this question was answered in 2015. The coding advice may or may not be outdated.
Unsuccessful Biventricular Upgrade
Date: Feb 20, 2015
Question:
We attempted to upgrade a dual ICD to a biventricular ICD; however, the physician was unable to implant the CS lead after multiple attempts. He implanted the biventricular ICD and plugged the CS port. Can we still report code 33264 since the biventricular ICD generator was implanted even though it's only with the existing atrial and ventricular leads? Would we use a -52 or -74 modifier on code 33225 for the facility bill?
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