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Question:
What code should be assigned when a battery is replaced for a pacemaker?
Answer:
When a “battery” is replaced, it is actually the pulse generator that is being replaced. Hybrid codes have been created for the exchange. These codes include the removal and replacement of the battery only during the same encounter when chronic leads are used.
For example:
For exchange of single-lead pulse generator:
| 33227 | Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system |
For outpatient prospective payment system (OPPS) billing, add the HCPCS code for the implanted device:
| C2620 | Single-chamber pacemaker, non rate-responsive (implantable) |
Or
| C1786 | Single-chamber pacemaker, rate-responsive (implantable) |
For the dual-lead pulse generator:
| 33228 | Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system |
For OPPS billing, add the HCPCS code for the implanted device:
| C2619 | Dual chamber pacemaker, nonrate-responsive (implantable) |
Or
| C1785 | Dual chamber pacemaker, rate-responsive (implantable) |
For the multiple-lead pulse generator:
| 33229 | Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system |
For OPPS billing, add the HCPCS code for the implanted device:
| C2621 | Pacemaker, other than single or dual chamber (implantable) |
The parenthetical under codes 33227, 33228, 33229 states:
(Do not report 33227, 33228, 33229 in conjunction with 33214, 33216, 33217, 33233)
(For removal and replacement of pacemaker pulse generator and transvenous electrode(s), use 33233 in conjunction with either 33234 or 33235 and 33206 – 33208)
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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.
CPT is a registered trademark of the American Medical Association.
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