CPT Knowledgebase - Dec 20, 2013

How is the removal of a left ventricular lead, right ventricular lead and right atrial lead reported? These are all transvenous removals and they are not being replaced. Code 33235, Removal of transvenous pacemaker electrode(s); dual lead system, describes two leads, not three. In the 2013 CPT Reference Guide for Cardiovascular Coding, the Intent and Use of Code 33235 on page 64 states, There is currently no separate code for reporting the removal of more than two pacemaker leads. Does this mean that code 33235 should be reported when there are three leads, or should unlisted code 33999, Unlisted procedure, cardiac surgery, be used?

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