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AHA Coding Clinic® for HCPCS - 2020 Issue 4; Correction

Pacemaker lead in the bundle of HIS

Coding Clinic for HCPCS, Second Quarter 2019 page 12, advised the reporting of CPT 33999, Unlisted procedure, cardiac surgery, for a pacemaker insertion with leads placed in the right atrium and the bundle of HIS. Since that time, new guidance has become available from the American Medical Association (AMA) for physician reporting that indicates the correct code to report for this scenario is CPT code 33206, Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial, for the insertion of the pacemaker generator and lead in the right atrium. In order to capture the additional lead placement in the Bundle of HIS, the AMA has advised to append Modifier 22, Increased procedural service, to code 33206. However, since Modifier 22 is not available for facility reporting, is the correct code assignment for this procedure CPT code 33206 without a modifier or should the facility continue to report CPT code 33999? ...

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