How To Use CPT Code 33244

CPT 33244 describes the procedure for the removal of single or dual chamber implantable defibrillator electrode(s) by transvenous extraction. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 33244?

CPT 33244 is used to describe the removal of single or dual chamber implantable defibrillator electrode(s) through transvenous extraction. This procedure involves the provider making an incision in the chest over the cardiac device pocket and disconnecting and removing the defibrillator. The electrode lead is then removed by pulling it out through a vein. This procedure is typically performed when the device is no longer functioning properly or when an infection occurs.

2. Official Description

The official description of CPT code 33244 is: ‘Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction.’

3. Procedure

1. The provider incises the skin of the chest over the cardiac device pocket.
2. The provider disconnects and removes the single or dual chamber implantable defibrillator.
3. The provider removes the electrode lead by transvenous extraction, pulling it out through a vein.
4. The provider closes the cardiac device pocket and any access openings with sutures.

4. Qualifying circumstances

This procedure is performed on patients who have a single or dual chamber implantable defibrillator that needs to be removed. The removal may be necessary due to device malfunction or infection. The procedure is typically performed by a qualified healthcare provider who has the necessary training and expertise in performing transvenous extraction.

5. When to use CPT code 33244

CPT code 33244 should be used when a provider performs the removal of single or dual chamber implantable defibrillator electrode(s) through transvenous extraction. 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 code 33244, the provider must document the following information:

• Patient’s medical history and indication for the removal of the defibrillator electrode(s)
• Details of the procedure, including the incision site, disconnection and removal of the defibrillator, and transvenous extraction of the electrode lead
• Any complications or additional procedures performed during the removal
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 33244, ensure that the procedure meets the specific criteria outlined in the code description. It is important to accurately document the details of the procedure and any associated complications or additional procedures performed. Be aware of any applicable modifiers or additional codes that may be required for proper billing.

8. Historical information

CPT code 33244 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 patient with a malfunctioning single chamber implantable defibrillator requires the removal of the electrode through transvenous extraction.
2. A provider performs the removal of a dual chamber implantable defibrillator electrode due to an infection in the patient.
3. A single chamber implantable defibrillator electrode needs to be removed from a patient who is experiencing complications.
4. A provider performs the removal of a dual chamber implantable defibrillator electrode through transvenous extraction as part of a scheduled device upgrade.
5. A patient with a history of device-related complications requires the removal of a single chamber implantable defibrillator electrode.
6. A provider performs the removal of a dual chamber implantable defibrillator electrode through transvenous extraction following a successful heart transplant.
7. A patient with a single chamber implantable defibrillator requires the removal of the electrode due to a change in treatment plan.
8. A provider performs the removal of a dual chamber implantable defibrillator electrode through transvenous extraction as part of a device recall.
9. A patient with a malfunctioning single chamber implantable defibrillator requires the removal of the electrode to prevent further complications.
10. A provider performs the removal of a dual chamber implantable defibrillator electrode through transvenous extraction as part of end-of-life care for the patient.