Data Updated for Q4 2018 CPT Code: 33210 Description: Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure)
With cardiac catheters—right, left, or both—there are additional procedures including coronary angiography and left ventriculography, which are coded separately. Replacement: Use of this root operation is necessary for valve replacement procedures, including aortic, mitral, and pulmonary valves.
When coding insertion of a temporary pacemaker (ventricular) in PCS (5A1213Z or 5A1223Z) there is no prompt to code also the lead. However, according to the Coding Handbook Chapter 27- Cardiac Pacemaker Therapy, there is a directive to, “plus the appropriate code for the lead insertion”.
This is a documentation opportunity, which can be addressed with the provider. A 64-year-old man is admitted for a left heart catheterization, coronary angiography of multiple coronary arteries and left ventriculography, using low osmolar contrast.
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)
Group 1CodeDescription33207INSERTION OF NEW OR REPLACEMENT OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S); VENTRICULAR33208INSERTION OF NEW OR REPLACEMENT OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S); ATRIAL AND VENTRICULAR1 more row
CPT® Code 33213 in section: Insertion of pacemaker pulse generator only.
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. 33228 Removal of permanent pacemaker with replacement.
HCPCS code C1785 for Pacemaker, dual chamber, rate-responsive (implantable) as maintained by CMS falls under Assorted Devices, Implants, and Systems .
It can be used to treat symptomatic bradycardias that do not respond to transcutaneous pacing or to drug therapy. Transvenous pacing is achieved by threading a pacing electrode through a vein into the right atrium, right ventricle, or both.
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.
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.
Group 1CodeDescription33207INSERTION OF NEW OR REPLACEMENT OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S); VENTRICULAR33208INSERTION OF NEW OR REPLACEMENT OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S); ATRIAL AND VENTRICULAR1 more row
The Current Procedural Terminology (CPT®) code 33430 as maintained by American Medical Association, is a medical procedural code under the range - Surgical Procedures on the Mitral Valve.
Article - Billing and Coding: Biventricular Pacing/ Cardiac Resynchronization Therapy (A57634)
Temporary pacemaker procedures are classified to 5A1213Z (intermittent) or 5A1223Z (continuous), plus the appropriate code for the lead insertion.
A Active Code. These codes are paid separately under the physician fee schedule, if covered. There will be RVUs for codes with this status. The presence of an “A” indicator does not mean that Medicare has made a nation
000 Endoscopic or minor procedure with related preoperative and postoperative relative values on the day of the procedure only included in the fee schedule payment amount; evaluation and management services on the day
CPT codes, descriptions and other data only are copyright 2021 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.
For inpatient and outpatient institutional claims ICD-10-CM codes I25.2, I25.5, I42.0, I42.6, I42.7, I42.8 and Z76.82 must be reported with a secondary diagnosis as described in the Article Text above.
The following ICD-10 PCS Codes include both the Part A insertion and removal codes.
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.
CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Abstract: The National Coverage Determination (NCD) 20.8.3, Single Chamber and Dual Chamber Permanent Cardiac Pacemakers were revised with an effective date of August 13, 2013. The CMS A/B Medicare Administrative Contractors (MACs) have been instructed to implement the NCD at the local level.
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.