Forum - Questions & Answers
Crt-d
First time here,I need help,i coded 33263- Removal of pacing cardioverter-defibrillator pulse generator with replacement of pacing cardioverter-defibrillator pulse generator; dual lead system and add on code 33225 Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of pacing cardioverter-defibrillator or pacemaker pulse generator. I am getting an error-Claim lacks require device code for Medicare. What is the device code i'm missing?
re: CRT-D
Code 33263 only requires device HCPCS code C1721, in an outhospital setting.
Code 33225 is reported when the lead placed within the coronary sinus is connected to a new pacemaker generator or ICD. This code is also reported when the existing pacemaker generator or ICD is removed and replaced or upgraded.
According to the AMA 2012 CPT® book, 33225 can not be billed with 33262-33264 which is for the ICD generator removal and replacement. But, this was an AMA error, which they corrected in their CPT® Code Book Errata. Here are the changes:
(Use 33225 in conjunction with 33206, 33207, 33208, 33212, 33213, 33214,
33216, 33217, 33221, 33222, 33228, 33229, 33230, 33231, 33233, 33234,
33235, 33240, 33249, 33263, 33264)
re: CRT-D
Thank you so much..