tci Outpatient Facility Coding Alert - 2015 Issue 2

Cardiac Clearance: Keep Pace With Pacemaker Changes With 33233, 33235, and 33206

Can you code when removing an old component? You have a chart documenting where the surgeon replaced a patient’s dual pacemaker for end of life and also replaced a malfunctioning atrial lead. It might not be a situation you see every day, but read on for tips on reporting the situation. Starting point: The American Medical Association (AMA) says it’s OK to bill for both stages of the procedure separately, according to consultant Jim Collins, CHCC, CPC, ACS-CA, President, The Cardiology Coalition in Matthews, N.C. Collins wrote to the AMA as a consulting editor with The...

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