CPT Knowledgebase - Jun 12, 2015

If a patient presents with a right ventricular (RV) lead and has the battery removed and replaced to add a left ventricular (LV) lead, is the removal and replacement reported with code 33263 (REVISED IN 2015), Removal of pacing cardioverterdefibrillator pulse generator with replacement of pacing cardioverter-defibrillator pulse generator; dual lead system, because there are two leads involved? Or is it appropriate to report code 33264, Removal of pacing cardioverterdefibrillator pulse generator with replacement of pacing cardioverter-defibrillator pulse generator; multiple lead system, because the device may be capable of multiple leads?

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