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Tag Archives: Generator

Adding new LV lead with pacemaker generator change, old LV lead not removed

Posted on by
Need help please. Our provider changed biventricular pacemaker due to depletion of the battery and noticed that LV lead was not working and inserted new one. it was not removed but new one added. I coded the scenario as 33229 and 33224 but 33229 is not allowed with 33224. Should I use 33225 instead?
thank so much for help.

Medical Billing and Coding Forum

pacemaker lead extraction and explantation of generator

Posted on by
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

Medical Billing and Coding Forum