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Version 2020 Page one hundred and one of 258 Physician Procedure Codes Section 5 Surgery 33202 Insertion of epicardial electrodes; open incision eg thoracotomy median sternotomy subxiphoid approach 33203 endoscopic approach eg thoracoscopy pericardioscopy When epicardial lead placement is performed by the identical physician on the same session as insertion of the generator report 33202 33203 along side 33212 33213 as appropriate 33206 Insertion of recent or replacement of everlasting pacemaker with transvenous electrodes; atrial 33207 ventricular 33208 atrial and ventricular Codes 33206-33208 include subcutaneous insertion of the heartbeat generator and transvenous placement of electrodes 33210 Insertion or alternative of short-term transvenous single chamber cardiac electrode or pacemaker catheter separate process 33211 Insertion or substitute of short-term transvenous twin chamber pacing electrodes separate process 33212 Insertion of pacemaker pulse generator only; with current single lead 33213 with existing dual leads When epicardial lead placement is carried out with insertion of generator report 33202 33203 at the side of 33212 33213 33214 Upgrade of implanted pacemaker system conversion of single chamber system to dual chamber system consists of removing of previously placed pulse generator testing of existing lead insertion of recent lead insertion of latest pulse generator Do not report 33214 at the side of 33227-33229 33215 Repositioning of beforehand implanted transvenous pacemaker or implantable defibrillator proper atrial or right ventricular electrode 33216 Insertion of a single transvenous electrode everlasting pacemaker or implantable defibrillator 33217 Insertion of 2 transvenous electrodes everlasting pacemaker or implantable defibrillator 33218 Repair of single transvenous electrode everlasting pacemaker or implantable defibrillator 33220 Repair of 2 transvenous electrodes for everlasting pacemaker or implantable defibrillator 33221 Insertion of pacemaker pulse generator only; with existing multiple leads 33222 Relocation of skin pocket for pacemaker 33223 Relocation of pores and skin pocket for implantable defibrillator 33224 Insertion of pacing electrode cardiac venous system for left ventricular pacing with attachment to previously positioned pacemaker or implantable defibrillator pulse generator including revision of pocket removal insertion and/or substitute of existing generator When epicardial electrode placement is carried out report 33224 at the side of 33202 33203 33225 Insertion of pacing electrode cardiac venous system for left ventricular pacing at time of insertion of implantable defibrillator or pacemaker pulse generator eg for upgrade to twin chamber system List individually along with major procedure Use 33225 along side 33206 33207 33208 33212 33213 33214 33216 33217 3322133223 33228 33229 33230 33231 33233 33234 33235 33240 33249 33263 33264 Version 2020 Page 102 of 258 Physician Procedure Codes Section 5 Surgery 33226 Repositioning of previously implanted cardiac venous system left ventricular electrode including elimination insertion and/or replacement of current generator 33227 Removal of everlasting pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system 33228 dual lead system 33229 multiple lead system Do not report 33227-33229 in conjunction with 33233 33230 Insertion of implantable defibrillator pulse generator with present twin leads 33231 with current a number of leads Do not report 33230 33231 33240 at the side of 33241 for removal and alternative of the pacing cardioverter-defibrillator pulse generator. 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