Pacemaker or Implantable Defibrillator Systems (November 2014)

November 2014 pages 5-7 Pacemaker or Implantable Defibrillator Systems Effective January 1, 2015, Category III codes 0319T-0328T, which described subcutaneous implantable defibrillator systems, will be deleted and replaced with Category I codes 33270-33273. This article addresses the changes and additions made to the significantly revised and re-titled Cardiovascular System subsection, Pacemaker or Implantable Defibrillator, in the CPT® 2015 code set, as well as revised existing codes. Note that these new codes are out of numerical sequence to allow for placement within the pacemaker family of codes. Pacemaker Systems The heart consists of four chambers: the right and left atria...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains the November 2014 CPT Assistant discussion of the revised cardiovascular subsection for pacemaker and implantable defibrillator systems. It is aimed at coders and other billing professionals who need to understand the 2015 code-set changes, related device terminology, and the general organization of reporting guidance for implantation, replacement, repositioning, removal, and evaluation topics.

Why This Topic Matters

Accurate understanding of these CPT updates helps users identify the correct code family for device procedures and recognize which related services are bundled, separate, or no longer available in the revised code structure.

Article Sections

  1. Pacemaker Systems

    Overview of pacemaker system components and general chamber-based pacing concepts. Also introduces lead placement approaches and broad device configurations.

  2. Implantable Defibrillator System

    General description of implantable defibrillator system categories and how the article distinguishes the subcutaneous and transvenous device families. Includes the introduction of updated CPT 2015 code information.

  3. Change of Pulse Generator (Battery)

    Discussion of pulse generator replacement concepts across pacemaker and implantable defibrillator systems. Covers the general structure of reporting when generator work is performed with or without related lead work.

  4. Repositioning

    Broad guidance on repositioning procedures for existing leads in pacemaker and defibrillator systems. Also notes how related lead locations are categorized.

  5. Relocation of a Skin Pocket

    Describes skin pocket relocation as a distinct procedural topic for device systems. Addresses the general relationship of pocket work to other device procedures.

  6. Lead Removal

    Covers broad lead removal topics for transvenous and subcutaneous systems, including alternative approaches and associated procedure families. Also notes related insertion and generator topics.

  7. Coding Tip

    Contains brief coding guidance and exception-oriented commentary related to a specific device extraction scenario. Presented as an article tip rather than a major subject area.

  8. Device Replacement

    Explains the general organization of device replacement topics by device type and lead system configuration. Includes summary-level comments on how the revised code families are structured.

  9. Coding Tip

    Provides an additional brief tip related to pacemaker generator replacement and code-family use. Serves as a short concluding guidance note.

What You Will Learn

  • How the revised CPT cardiovascular subsection is organized for pacemaker and implantable defibrillator systems
  • What kinds of device topics the article addresses, such as implantation, replacement, repositioning, removal, and evaluation
  • How the article frames the distinction between pacemaker systems and implantable defibrillator systems
  • Which code families and code-set changes are discussed in connection with the 2015 updates

Who Should Read This

  • Medical coders
  • Billing staff
  • Coding educators
  • Clinical documentation specialists
  • Practice managers

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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