How To Use CPT Code 33212

CPT 33212 describes the insertion of a pacemaker pulse generator in a patient with an existing single lead. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 33212?

CPT 33212 can be used to describe the procedure of inserting a new pacemaker pulse generator in a patient with an existing single lead. This code is used when the provider creates a subcutaneous pocket in the front of the chest to place the device, primarily for regulating heart beats in patients with arrhythmia.

2. Official Description

The official description of CPT code 33212 is: ‘Insertion of pacemaker pulse generator only; with existing single lead.’

3. Procedure

1. The provider makes an incision on the skin below the collarbone, extending to the front of the chest near the armpit.
2. A subcutaneous pocket is created in the pectoralis fascia or just below the pectoral muscle to house the new pacemaker pulse generator.
3. The existing lead is freed from surrounding fibrous adhesions, ensuring its protection from any damage.
4. The pocket is cleaned by irrigating it with saline.
5. The new generator for a single lead system is placed into the pocket.
6. The existing lead is tested for proper functionality and attached to the new pulse generator.
7. Hemostasis is achieved to stop any bleeding.
8. The skin pocket is closed with sutures, staples, or tissue adhesive.
9. The provider programs the device for functionality.

4. Qualifying circumstances

CPT 33212 is performed on patients with an existing single lead in a chamber of the heart. The procedure is primarily done for patients with arrhythmia, irregular heart rhythm, who require artificial regulation of heart beats through a pacemaker pulse generator.

5. When to use CPT code 33212

CPT code 33212 should be used when a provider inserts a new pacemaker pulse generator in a patient with an existing single lead. It is important to note that this code includes radiological supervision and interpretation related to the procedure.

6. Documentation requirements

To support a claim for CPT 33212, the provider must document the following information:

• Patient’s diagnosis and the need for the pacemaker pulse generator insertion
• Details of the procedure, including the incision, creation of the subcutaneous pocket, testing of the existing lead, and closure of the skin pocket
• Date and duration of the procedure
• Any complications or additional procedures performed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 33212, ensure that the procedure involves the insertion of a pacemaker pulse generator in a patient with an existing single lead. This code includes radiological supervision and interpretation. It is important to follow any specific guidelines provided by the payer regarding documentation and reporting of this procedure.

8. Historical information

CPT 33212 was added to the Current Procedural Terminology system on January 1, 1990. The code was later changed on January 1, 2012 to specify the insertion or replacement of a pacemaker pulse generator only in a single chamber of the heart.

9. Examples

1. A cardiologist inserting a new pacemaker pulse generator in a patient with an existing single lead for the regulation of heart beats.
2. An electrophysiologist performing the procedure of placing a pacemaker pulse generator in a subcutaneous pocket in front of the chest for a patient with arrhythmia.
3. A cardiac surgeon inserting a new pacemaker pulse generator in a patient with an existing single lead to maintain regular heart rhythm.
4. An interventional cardiologist performing the procedure of placing a pacemaker pulse generator in a subcutaneous pocket for a patient with arrhythmia and an existing single lead.
5. A cardiovascular technologist assisting the provider in the insertion of a pacemaker pulse generator in a patient with an existing single lead.
6. A cardiac nurse monitoring the patient during the procedure of inserting a new pacemaker pulse generator in a subcutaneous pocket in front of the chest.
7. A cardiac anesthesiologist ensuring the patient’s comfort and safety during the insertion of a pacemaker pulse generator in a patient with an existing single lead.
8. A radiologist interpreting the radiological images related to the placement of a pacemaker pulse generator in a patient with an existing single lead.
9. A healthcare administrator coordinating the scheduling and documentation of the procedure for the insertion of a pacemaker pulse generator in a patient with an existing single lead.
10. A medical coder accurately assigning CPT code 33212 for the insertion of a pacemaker pulse generator in a patient with an existing single lead.