Can anyone tell me if you can bill 33233 for removal of generator along with 33235? The generator and leads are removed without reinsertion. The guidelines state "When reporting the system insertion or replacement codes, removal of a pulse generator (33233 or 33241) may be reported separately, when performed". Am I correct that removal of transvenous electrode(s) (33234,33235 or 33244) includes explantation of the generator if it is not being replaced or upgraded?

Thank you