tci Part B Insider - 2010 Issue 40

Reader Questions: Use 33212-33213 for Pacemaker Battery Change

Question: Which CPT and ICD-9 codes apply to changing a pacemaker battery? Answer: A pacemaker battery is known as a pulse generator. You report it based on the type of generator: 33212 (Insertion or replacement of pacemaker pulse generator only; single chamber, atrial or ventricular) for a single chamber or 33213 (... dual chamber) for a dual. Diagnosis: The diagnosis for pacemaker replacement depends on what led to the procedure. If you have documentation of a mechanical breakdown, report 996.00 (Mechanical complication of cardiac device, implant, and graft; unspecified device, implant, and graft). If the battery had reached...

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