AMA CPT® Assistant - 2019 Issue 3 (March)
CPT Assistant THEN and NOW: Cardiovascular Leadless Pacemaker Procedures (March 2019)
March 2019 pages 6-7 CPT Assistant THEN and NOW As medical terminology and the performance of services and procedures change, so do the associated reporting methods. In this feature, we will regularly revisit previously published articles to correct, revise, update, and/or reiterate long-standing information. Cardiovascular Leadless Pacemaker Procedures THEN An article titled Pacemaker—Leadless and Pocketless System Codes (0387T-0391T), published in the May 2015 issue of CPT® Assistant (p 3), provided coding guidance on the appropriate reporting of Current Procedural Terminology (CPT®) Category III codes 0387T-0391T, which were new in the CPT 2016 code set. The article provided the...
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Article Overview
This article explains a CPT Assistant THEN and NOW update focused on cardiovascular leadless pacemaker procedures. It is aimed at coders and billing professionals working with CPT cardiovascular and electrophysiology services, and it summarizes how the CPT 2019 code set revised reporting for leadless pacemaker insertion, removal, device evaluation, and related guidance.
Why This Topic Matters
The article is relevant because it captures a coding transition in the CPT 2019 code set and clarifies the surrounding guidance for leadless pacemaker services. That matters for accurate reporting, code set alignment, and understanding how the updated CPT framework relates to associated cardiovascular and device-evaluation services.
Article Sections
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March 2019 pages 6-7
Introductory publication information for the CPT Assistant feature and its place in the March 2019 issue.
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THEN
Background on earlier CPT Assistant guidance and the prior reporting framework for leadless pacemaker procedures.
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NOW
Overview of the updated CPT 2019 reporting framework for leadless pacemaker services and related revisions to accompanying guidance.
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Guidelines
Discussion of revised subsection guidance related to leadless pacemaker services, catheter-based access, and associated cardiovascular reporting context.
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Clinical Example (33274) / Description of Procedure (33274)
A clinical scenario and procedural narrative illustrating leadless pacemaker insertion in typical workflow terms.
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Clinical Example (33275) / Description of Procedure (33275)
A clinical scenario and procedural narrative illustrating leadless pacemaker removal in typical workflow terms.
What You Will Learn
- How the article frames the transition from prior leadless pacemaker reporting to the CPT 2019 approach.
- What types of guidance were revised for cardiovascular leadless pacemaker procedures.
- Which related service categories and device-evaluation topics are discussed alongside the update.
- How the article uses clinical examples and procedural descriptions to illustrate the topic.
Who Should Read This
- Medical coders
- Coding auditors
- Billing professionals
- Revenue cycle staff
- Cardiology and electrophysiology coding specialists
Codes Discussed
Code Ranges Discussed
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