Should these be reported single-chamber pacemaker, dual chamber pacemaker, or biventricular pacemaker? 1.) A physician changes...

Should these be reported single-chamber pacemaker, dual chamber pacemaker, or biventricular pacemaker?

1.) A physician changes the battery for a single chamber permanent pacemaker pulse generator inserted one year-ago and repairs (and reconnects) the existing transvenous lead. How should these services be reported?

2.) Immediately prior to performing a single coronary artery bypass graft procedure, the same physician harvested a vein from the left arm to be used for the graft. What add-on, if any, would be reported for the harvesting of the vein?

3.) A physician performed a coronary artery bypass graft procedure involving two grafts – a venous graft to the right coronary artery and a separate venous graft to the left anterior descending artery. How should these services be reported?

Expert Solution

1) 33218- Repair of single transvenous electrode for a single chamber, permanent pacemaker or single chamber pacing cardioverter-defibrillator (for atrial or ventricular single chamber repair of pacemaker electrode)with replacement of pulse generator.

2.) The harvesting of the vein is included in code 33510. Add -on code 33518 which describes two venous bypass grafts performed .

3) The saphenous vein grafts are re- ported with add-on code 33518 which describes the two venous bypass grafts that were performed

Nightingale answered 2 years ago

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