What is procedure code 33249?

Asked By: Ollie Ontoso | Last Updated: 2nd June, 2020
Category: medical health heart and cardiovascular diseases
4/5 (435 Views . 12 Votes)
CPT 33249, Under Pacemaker or Pacing Cardioverter-Defibrillator Procedures. The Current Procedural Terminology (CPT) code 33249 as maintained by American Medical Association, is a medical procedural code under the range - Pacemaker or Pacing Cardioverter-Defibrillator Procedures.

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Beside this, does CPT code 33249 require a modifier?

The Q0 modifier has been around for several years. If you have a MCR patient who is having an ICD implanted for the PRIMARY prevention of sudden cardiac death, then you append Q0 to 33249. It is only for MCR, not MCR replacements, and any claim without the modifier but with the required diagnosis will be denied.

Also, does Medicare cover ICD implant? Defibrillators. Medicare may cover an implantable automatic defibrillator if you've been diagnosed with heart failure. Medicare Part A (Hospital Insurance) pays if the surgery takes place in a hospital inpatient setting.

Herein, what is the CPT code for pacemaker insertion?

Note: Codes 33206-33208 include subcutaneous insertion of the pulse generator and transvenous placement of electrode[s]. Note: If temporary pacemaker is being used as a bridge (e.g., for a pacemaker-dependent patient) during permanent device implant procedure, use -59 to indicate distinct procedural service).

What is a QO modifier?

Modifier Q0. Investigational clinical service provided in a clinical research study that is in an approved clinical research study.

23 Related Question Answers Found

What is the CPT code for ICD implant?

The descriptions for CPTcodes 93285, 93291, and 93298 will delete the phrase "implantable loop recorder system” and replace it with "subcutaneous cardiac rhythm monitor system.” In addition, CPTcode 93299 will add "physiologic” to its descriptor.

What is CPT code 33228?

CPT 33228, Under Pacemaker or Pacing Cardioverter-Defibrillator Procedures. The Current Procedural Terminology (CPT) code 33228 as maintained by American Medical Association, is a medical procedural code under the range - Pacemaker or Pacing Cardioverter-Defibrillator Procedures.

Does CPT code 33228 need a modifier?

CPT codes 33227, 33228 and 33229 or 33233 are therefore not addressed in this coding article. For medically necessary pacemaker insertion in conditions not addressed by the NCD or this article, Group III, use modifier - SC (Medically necessary service or supply).

What is CPT code 33225?


CPT 33225, Under Pacemaker or Pacing Cardioverter-Defibrillator Procedures. The Current Procedural Terminology (CPT) code 33225 as maintained by American Medical Association, is a medical procedural code under the range - Pacemaker or Pacing Cardioverter-Defibrillator Procedures.

What is a VVI pacemaker?

VVI(R) is ventricular demand pacing. The ventricle is paced, sensed, and the pulse generator inhibits pacing output in response to a sensed ventricular event. This mode of pacing prevents ventricular bradycardia and is primarily indicated in patients with atrial fibrillation with a slow ventricular response.

What is a biventricular pacemaker?

A biventricular pacemaker is a special type of pacemaker that paces both sides of the lower chambers of the heart (the right and left ventricles) to help treat heart failure. Certain types of biventricular pacing devices also provide the ability to shock the heart.

What is a dual chamber pacemaker?

A pacemaker consists of a small, battery-powered generator and one or more leads. Dual-chamber pacemakers have two leads, placed in the right atrium and right ventricle. They act synchronously when a slow natural heart rate is detected to mimic the sequential physiological contraction of the atria and ventricles.

What is AICD device?

An Automatic Implantable Cardioverter Defibrillator, (AICD), is a small electronic device that is implanted into your chest to monitor and correct an abnormal heart rhythm, or arrhythmia.

What is a cardiac pacemaker battery called in CPT?


Answer: You are correct. The replacement of a battery or pulse generator requires two codes, one for the removal and another for the insertion. You'd pick 33212 or 33213, depending on whether it's a single or dual chamber, and 33233.

How much does an ICD implant cost?

The cost for an ICD implant alone is estimated at $30,000 to $50,000.

How long does it take to recover from an ICD implant?

In general, you should be able to return home the day after your implant procedure. Full recovery from the procedure normally takes about 4 to 6 weeks.

Does Medicare cover a life vest?

Medicare recipients who are advised to use a Zoll LifeVest may need to satisfy several requirements for Medicare coverage of this product. Medicare may only cover a wearable defibrillator like Zoll LifeVest for temporary use while a recipient waits for an implantable device.

How long can a person live with an implanted defibrillator?

Living with a Pacemaker or Implantable Cardioverter Defibrillator ICD. Pacemakers and ICDs generally last 5 to 7 years or longer, depending on usage and the type of device. In most cases, you can lead a normal life with an ICD.

What Does Medicare pay for pacemaker?


If your doctor decides a pacemaker is required, Medicare will pay for 80 percent of the cost if you meet all the necessary conditions. You will be responsible the remaining 20 percent of the bill and you may be required to pay a copayment, depending on if the surgery takes place in a hospital or outpatient facility.

Is there a difference between a pacemaker and a defibrillator?

Like a pacemaker, an implantable cardioverter defibrillator, or ICD, is a device placed under your skin. It also contains a computer that tracks your heart rate and rhythm. The main difference is that if your heart beats way too fast or is very out of rhythm, the ICD sends out a shock to get it back into rhythm.

Does Medicare cover pacemaker implantation?

Medicare typically does cover pacemakers (and the surgery to insert them), as long as the pacemaker is considered medically necessary by a doctor. Medicare Advantage (Medicare Part C) plans may also cover pacemakers if they are deemed medically necessary, and they also include an annual out-of-pocket spending limit.