How To Use CPT Code 33213

CPT 33213 describes the insertion of a dual pacemaker pulse generator and the connection to previously placed leads. 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 33213?

CPT 33213 is used to describe the procedure of inserting a dual pacemaker pulse generator and connecting it to previously placed leads. This code is specifically for cases where the provider is only inserting the pulse generator and not replacing any leads. It is important to note that this code is for dual lead systems only, and there are separate codes for single lead systems and generator replacements.

2. Official Description

The official description of CPT code 33213 is: ‘Insertion of pacemaker pulse generator only; with existing dual leads.’

3. Procedure

1. The provider prepares the patient and administers anesthesia.
2. An incision is made, typically in the chest, to create a pacemaker pocket.
3. The existing dual leads are tested for function and then attached to the new pulse generator.
4. The pacemaker pocket is closed.

4. Qualifying circumstances

CPT 33213 is used when the patient already has existing dual leads and requires the insertion of a new pacemaker pulse generator. The patient must have a medical need for a pacemaker, and the provider must determine that the insertion of the pulse generator is necessary for the patient’s health and well-being.

5. When to use CPT code 33213

CPT code 33213 should be used when the provider is performing the specific procedure of inserting a dual pacemaker pulse generator and connecting it to previously placed leads. It should not be used for cases involving single lead systems or generator replacements. It is important to accurately report the procedure performed to ensure proper coding and billing.

6. Documentation requirements

To support a claim for CPT 33213, the provider must document the following information:

• Medical necessity for the pacemaker pulse generator insertion
• Confirmation of existing dual leads
• Date of the procedure
• Details of the procedure, including the incision and closure of the pacemaker pocket
• Any complications or additional procedures performed
• Signature of the provider

7. Billing guidelines

When billing for CPT 33213, ensure that the procedure performed matches the description of the code. It is important to accurately report the insertion of a dual pacemaker pulse generator with existing leads. If the procedure involves a single lead system, use the appropriate code (such as CPT 33212). If the provider is replacing the generator for a dual lead system, use CPT 33228. It is also important to follow any additional guidelines provided by payers or coding authorities to ensure proper reimbursement.

8. Historical information

CPT 33213 was added to the Current Procedural Terminology system on January 1, 1994. There have been no updates or changes to the code since its addition.

9. Examples

1. A cardiologist inserts a dual pacemaker pulse generator and connects it to previously placed leads for a patient with heart block.
2. An electrophysiologist performs the procedure of inserting a dual pacemaker pulse generator and connecting it to existing leads for a patient with bradycardia.
3. A cardiac surgeon inserts a dual pacemaker pulse generator and connects it to previously placed leads for a patient with heart failure.
4. An interventional cardiologist performs the procedure of inserting a dual pacemaker pulse generator and connecting it to existing leads for a patient with arrhythmia.
5. A cardiac electrophysiologist inserts a dual pacemaker pulse generator and connects it to previously placed leads for a patient with atrial fibrillation.
6. A cardiothoracic surgeon performs the procedure of inserting a dual pacemaker pulse generator and connecting it to existing leads for a patient with ventricular tachycardia.
7. An interventional radiologist inserts a dual pacemaker pulse generator and connects it to previously placed leads for a patient with cardiac conduction abnormalities.
8. A cardiac electrophysiologist performs the procedure of inserting a dual pacemaker pulse generator and connecting it to existing leads for a patient with syncope.
9. A cardiothoracic surgeon inserts a dual pacemaker pulse generator and connects it to previously placed leads for a patient with heart valve disease.
10. An interventional cardiologist performs the procedure of inserting a dual pacemaker pulse generator and connecting it to existing leads for a patient with coronary artery disease.