How To Use CPT Code 33220

CPT 33220 describes the repair of two transvenous electrodes for a permanent pacemaker or implantable defibrillator. 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 33220?

CPT 33220 can be used to describe the repair of two transvenous electrodes for a permanent pacemaker or implantable defibrillator. This code is used when the provider disconnects and repairs two electrodes from an impulse generator, such as a pacemaker or an implanted cardiac defibrillator, and then reattaches the electrodes to the generator. This service is performed when the pacemaker or implantable defibrillator is not functioning properly due to a problem with the electrodes.

2. Official Description

The official description of CPT code 33220 is: ‘Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator.’

3. Procedure

1. The provider incises the existing cardiac device pocket and removes the pulse generator to gain access to the electrodes.
2. Next, the provider disconnects the electrodes from the pulse generator and tests them.
3. If the electrodes are found to be defective, the provider repairs them and retests the system.
4. Finally, the provider reattaches the electrodes to the generator, places the generator and the electrodes in their previous position, and closes the cardiac device pocket.

4. Qualifying circumstances

CPT 33220 is performed for patients who have a pacemaker or implantable defibrillator that requires the repair of two transvenous electrodes. The electrodes may be malfunctioning or damaged, leading to the need for repair. This procedure is typically performed by a provider who is experienced in cardiac device implantation and management.

5. When to use CPT code 33220

CPT code 33220 should be used when a provider performs the repair of two transvenous electrodes for a permanent pacemaker or implantable defibrillator. It is important to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 33220, the provider must document the following information:

• Reason for the repair of the transvenous electrodes
• Details of the repair procedure performed
• Results of any tests conducted on the electrodes
• Any additional procedures or interventions performed during the same session
• Signature of the provider performing the service

7. Billing guidelines

When billing for CPT 33220, ensure that the procedure meets the specific criteria outlined in the code description. It is important to follow the appropriate coding guidelines and modifiers, if applicable. Additionally, be aware of any specific billing requirements or restrictions set by payers.

8. Historical information

CPT 33220 has undergone several historical changes since its addition to the Current Procedural Terminology system. These changes include updates to the code description and the addition of modifiers for reporting specific circumstances.

9. Examples

1. A provider repairs two transvenous electrodes for a permanent pacemaker in a patient with a malfunctioning electrode.
2. A provider performs the repair of two transvenous electrodes for an implantable defibrillator in a patient with damaged electrodes.
3. During a procedure, a provider repairs two transvenous electrodes for a permanent pacemaker and replaces the pulse generator due to electrode malfunction.
4. A provider performs the repair of two transvenous electrodes for a dual chamber pacing cardioverter-defibrillator in a patient with electrode issues.
5. In a patient with a malfunctioning electrode, a provider repairs two transvenous electrodes for a permanent pacemaker and inserts a new electrode.
6. A provider performs the repair of two transvenous electrodes for an implantable defibrillator and replaces the pulse generator due to electrode damage.
7. During a procedure, a provider repairs two transvenous electrodes for a dual chamber permanent pacemaker and replaces the pulse generator due to electrode malfunction.
8. A provider repairs two transvenous electrodes for a permanent pacemaker in a patient with electrode issues.
9. In a patient with damaged electrodes, a provider performs the repair of two transvenous electrodes for an implantable defibrillator.
10. A provider repairs two transvenous electrodes for a dual chamber pacing cardioverter-defibrillator in a patient with malfunctioning electrodes.