Question:

What code is used to capture the removal and replacement of a leadless pacemaker?

Answer:

CPT® 33274 -Transcatheter insertion or replacement of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed may be used for both initial insertions of leadless pacemaker systems and is also the code used for removal and replacement of these devices as well. Note that CPT 33275 should not be additionally reported in this situation, as the removal of the existing device is a component of 33274 in this scenario.

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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

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