How To Use CPT Code 33241

CPT 33241 describes the removal of an implantable defibrillator pulse generator only. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 33241?

CPT 33241 is used to describe the removal of an implantable defibrillator pulse generator. This code specifically refers to the removal of the pulse generator component of the defibrillator. It does not include the removal or replacement of any electrodes or leads. The procedure involves opening the surgically created pocket in the chest wall and removing the pulse generator. This may be necessary when the device is no longer functioning properly or when an infection occurs.

2. Official Description

The official description of CPT code 33241 is: ‘Removal of implantable defibrillator pulse generator only.’

3. Procedure

1. The provider prepares the patient for the procedure and ensures they are appropriately prepped and anesthetized.
2. An incision is made over the scar that covers the cardiac device pocket.
3. The provider opens the pocket and frees the leads from the fibrous tissue.
4. The leads are disconnected from the pulse generator.
5. The pulse generator is removed from the pocket.
6. The provider closes the pocket and the skin with sutures.

4. Qualifying circumstances

CPT 33241 is used when the provider is removing the pulse generator component of an implantable defibrillator. It does not include the removal or replacement of any electrodes or leads. The procedure may be necessary when the pulse generator is no longer functioning properly or when an infection occurs.

5. When to use CPT code 33241

CPT code 33241 should be used when the provider is specifically removing the pulse generator component of an implantable defibrillator. It should not be used when the procedure involves the removal and replacement of the pulse generator, or when the removal and replacement of the pulse generator and electrodes are performed together. In those cases, different CPT codes should be used.

6. Documentation requirements

To support a claim for CPT code 33241, the provider must document the following information:

• Reason for the removal of the pulse generator
• Details of the procedure, including the incision site and closure method
• Confirmation that only the pulse generator was removed, without any electrodes or leads
• Any complications or additional procedures performed during the same session
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 33241, it is important to ensure that only the pulse generator component of the implantable defibrillator is being removed. This code should not be reported in conjunction with other codes for removal and replacement of the pulse generator or electrodes. It is also important to follow any specific guidelines provided by the payer regarding documentation and billing for this procedure.

8. Historical information

CPT code 33241 was added to the Current Procedural Terminology system on January 1, 1994. There have been some historical changes to the code, including updates to the code description and the addition of specific notes regarding when and how to use the code.

9. Examples

1. A cardiologist removes the pulse generator component of an implantable defibrillator for a patient who is experiencing device malfunction.
2. An electrophysiologist performs the removal of an implantable defibrillator pulse generator for a patient who has developed an infection at the device site.
3. A cardiac surgeon removes the pulse generator component of an implantable defibrillator as part of a scheduled device upgrade for a patient.
4. A patient presents with a non-functioning pulse generator in their implantable defibrillator, and a cardiac nurse specialist performs the removal procedure.
5. A patient with a history of multiple device infections undergoes the removal of an implantable defibrillator pulse generator by a cardiothoracic surgeon.
6. A patient with an implantable defibrillator that is no longer needed due to improved cardiac function has the pulse generator removed by an interventional cardiologist.
7. A patient with a malfunctioning pulse generator in their implantable defibrillator undergoes removal of the device by a cardiac electrophysiologist.
8. A patient with an implantable defibrillator pulse generator that has reached the end of its battery life has the device removed by a cardiac surgeon.
9. An interventional cardiologist performs the removal of an implantable defibrillator pulse generator for a patient who is transitioning to a different type of cardiac device.
10. A patient with an implantable defibrillator pulse generator that has migrated from its original position undergoes removal of the device by a cardiac surgeon.