tci Outpatient Facility Coding Alert - 2016 Issue 10

Reader Question: Know How to Report Replacement of Pacemaker Multilead Battery

Question: The provider had to replace the pacemaker battery (multiple lead), as it had stopped working. How do we report this scenario? Ohio Subscriber Answer: Pick a code that is specific to multiple lead systems and includes both removing the old generator and inserting the replacement. You may report 33229 (Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system). As for the diagnosis coding, report Z45.010 (Encounter for checking and testing of cardiac pacemaker pulse generator [battery]), which is appropriate for replacing the battery. Remember: If the pulse generator requires replacement because...

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