Surgery: Cardiovascular System (Q&A) (December 2013)

December 2013 page 14b Surgery: Cardiovascular System Question: How is the removal of a left ventricular lead, right ventricular lead and right atrial lead reported? These are all transvenous removals and they are not being replaced. Code 33235, Removal of transvenous pacemaker electrode(s); dual lead system, describes two leads, not three. In the 2013 CPT Reference Guide for Cardiovascular Coding, the Intent and Use of Code 33235 on page 64 states, "There is currently no separate code for reporting the removal of more than two pacemaker leads." Does this mean that code 33235 should be reported when there...

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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 is a short CPT Assistant Q&A focused on cardiovascular surgery coding. It addresses reporting for transvenous lead removal when more than two leads are involved, discusses the relevant CPT reference guidance, and notes a modifier that may be considered when additional work is documented. It is useful for coders, billers, and compliance staff working with cardiac device procedures.

Why This Topic Matters

It helps readers understand a specific cardiovascular coding scenario involving lead removal, the applicable CPT framework, and when additional documentation may affect reporting.

What You Will Learn

  • How a cardiovascular surgery lead-removal question is addressed in a CPT Q&A format.
  • What general CPT guidance is discussed for reporting removal of multiple transvenous pacemaker leads.
  • What documentation-related issue is mentioned in connection with additional work on the procedure.
  • How the article frames the choice between a specific CPT code and an unlisted cardiac surgery code.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Cardiology billing staff
  • Compliance professionals
  • Physician coders

Codes Discussed

Modifiers Discussed


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