Cardiology Question for the Week of July 31, 2023


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


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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