Code | Description |
---|---|
33224 | INSERTION OF PACING ELECTRODE, CARDIAC VENOUS SYSTEM, FOR LEFT VENTRICULAR PACING, WITH ATTACHMENT TO PREVIOUSLY PLACED PACEMAKER OR IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR (INCLUDING REVISION OF POCKET, REMOVAL, INSERTION, AND/OR REPLACEMENT OF EXISTING GENERATOR) |
How To Setup A CPT Code. From the Office, Billing or EMR Product tab: Expand the Search folder. Select Code to open the Code Search Screen. From the Health Care Codes section on the Claim Screen: Put the cursor in the procedure code field. Select the Ctrl button and the Q button on the keyboard to open the Code Search Screen.
Current Procedural Terminology (CPT) coding is a standard, universal code that is applied to medical procedures and services for the purpose of patient records. CPT was developed by the American Medical Association (AMA) in 1966, and the codes are uniform codes that translate the same for doctors, hospitals, patients, insurance companies, and ...
When a service or procedure is described the same by both CPT coding and HCPCS coding, the CPT code is used. When a CPT code includes instructions to add more information, a HCPCS code is used. There are 16 sections in the HCPCS manual. ADVERTISEMENT.
Therefore, CPT code 99070 is nots eparately payable. If a provider bills with CPT code 99070 for a material or supply that is not usually part of the primary service, and CPT code 99070 is denied, the provider may call the Customer Service number listed on the member’s card or Provider Inquiry for a manual review of the claim.
Generator Replacement When the pulse generator is replaced and the new generator is attached to the existing subcutaneous lead, the procedure is reported with code 33262 (Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system).
33227 Removal of permanent pacemaker with replacement of pacemaker; single lead system for removal of the pulse generator and a code for the insertion of the pulse generator. CPT copyright American Medical Association.
CPT® 33249, Under Pacemaker or Implantable Defibrillator Procedures. The Current Procedural Terminology (CPT®) code 33249 as maintained by American Medical Association, is a medical procedural code under the range - Pacemaker or Implantable Defibrillator Procedures.
33220 Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator.
CPT® codes 63685 (insertion or replacement of spinal neurostimulator pulse generator or receiver) and 63688 (revision or removal of implanted spinal neurostimulator pulse generator or receiver) are temporarily removed from the list of services that require Medicare prior authorization when performed in a hospital ...
Pacemaker or Implantable Defibrillator ProceduresCPT® 33241, Under Pacemaker or Implantable Defibrillator Procedures. The Current Procedural Terminology (CPT®) code 33241 as maintained by American Medical Association, is a medical procedural code under the range - Pacemaker or Implantable Defibrillator Procedures.
IC: Use CPT® code 33224: Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to previously placed pacemaker or implantable defibrillator pulse generator (includes revision of pocket, removal, insertion, and/or replacement of existing generator).
CPT® Code 33213 in section: Insertion of pacemaker pulse generator only.
33228. Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system. For OPPS billing, add the HCPCS code for the implanted device: C2619.
33249Group 1CodeDescription33249INSERTION OR REPLACEMENT OF PERMANENT IMPLANTABLE DEFIBRILLATOR SYSTEM, WITH TRANSVENOUS LEAD(S), SINGLE OR DUAL CHAMBER33262REMOVAL OF IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR WITH REPLACEMENT OF IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR; SINGLE LEAD SYSTEM23 more rows
33225. INSERTION OF PACING ELECTRODE, CARDIAC VENOUS SYSTEM, FOR LEFT VENTRICULAR PACING, AT TIME OF INSERTION OF IMPLANTABLE DEFIBRILLATOR OR PACEMAKER PULSE GENERATOR (EG, FOR UPGRADE TO DUAL CHAMBER SYSTEM) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
INSERTION OF NEW OR REPLACEMENT OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S); VENTRICULAR. 33208. INSERTION OF NEW OR REPLACEMENT OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S); ATRIAL AND VENTRICULAR.
Providers can indicate that a service or procedure has been altered by a specific circumstance but has not changed in its definition or code. For example, modifiers may be used to report:
Add-on codes are always performed in addition to the primary service or procedure and must never be reported as a stand-alone code. These codes are designated with the + symbol.
The Cardiac Pacemakers, Implantable Cardioverter Defibrillators (ICD), Cardiac Resynchronization Therapy and Implantable/Insertable Cardiac Monitors (ICM) Coding Guide is intended to provide reimbursement educational information tied to use of these products when used consistently with the products' labeling. This guide includes information regarding coverage, coding and reimbursement, as well as general information regarding appealing denied claims and supporting documentation.
Diagnosis codes are used by both hospitals and physicians to document the indication for the procedure. For Cardiac Pacemaker, Implantable Cardioverter defibrillator (ICD) and Implantable/Insertable Cardiac Monitors (ICM) patients, there are many possible diagnosis code scenarios and a wide variety of possible combinations. The possible scenarios and combinations are too numerous to capture in this document. The customer should check with their local carriers or intermediaries and should consult with legal counsel or a financial, coding or reimbursement specialist for coding, reimbursement or billing questions related to ICD-10-CM diagnosis codes.
In certain circumstances, an additional lead may be required to achieve pacing of the left ventricle (biventricular pacing). In this event, the additional transvenous lead placement should be separately reported using 33224 or 33225. 33226 is reported for repositioning. See the Cardiac Resynchronization Therapy section, pages 27-38, for more information.
Effective January 1, 2020, the code for the technical component of remote monitoring for Implantable Cardiovascular Physiologic Monitoring Systems and Implantable/Insertable Cardiac Monitors (ICMs), CPT Code 93299, will be deleted. The Centers for Medicare & Medicaid Services (CMS) created a new G-code, G2066, to report this service. G2066 can be reported by physicians and outpatient hospitals. G2066 will continue to be carrier-priced, as 93299 was, and the description of the code will be the same. See pages 49 and 53 for more information.
Add-on code 33225 can be performed when medically appropriate with the primary service/procedure codes listed below. Add-on codes may not be reported as a stand-alone and must be billed when performed in conjunction with the primary service or procedure. Add-on codes qualify for separate payment for physicians and are not subject to the Physician Multiple Payment Reduction Rule.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
The National Coverage Determination (NCD) 20.4, Implantable Automatic Defibrillators was revised with an effective date of February 15, 2018. The CMS A/B Medicare Administrative Contractors (MACs) have been instructed to implement the NCD at the local level. The following provides coding and billing instructions for the implementation of NCD 20.4.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.