tci Part B Insider - 2004 Issue 5

Pacemakers: Replacing a Pacemaker and a Lead? Follow Our Lead

Bill 33233, 33235 and 33206 for removal and replacementIf a physician replaces both a generator and a lead on a pacemaker, how can you code this procedure? Can you use multiple codes to capture the removal and replacement, or just one code for everything?Here's the situation: The generator on a patient's dual pacemaker needs to be replaced for end of life. And then the physician also replaces a malfunctioning atrial lead. Some coders believe that you can't bill for removing the old components as well as placing the new ones.But in fact the American Medical Association has...

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