AMA CPT® Assistant - 2019 Issue 1 (January)

Surgery: Cardiovascular System (Q&A) (January 2019)

January 2019 page 14a Surgery: Cardiovascular System Question: If three pacemaker or implantable cardioverter-defibrillator (ICD) electrodes (right atrial [RA], right ventricular [RV], and left ventricular [LV]) are repaired, what code(s) should be reported? Answer: There is no CPT code to describe the repair of three leads. Therefore, when three electrodes are repaired, code 33999, Unlisted procedure, cardiac surgery, should be reported. When reporting an unlisted code to describe a procedure or service, it may be necessary to submit supporting documentation (eg, procedure report) with the claim to provide adequate description of the nature, extent, and need for the procedure...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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