How To Use CPT Code 33272

CPT 33272 describes the removal of a subcutaneous implantable defibrillator electrode by a healthcare provider. 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 33272?

CPT 33272 is used to describe the removal of a subcutaneous implantable defibrillator electrode from the patient’s heart without replacing it. This code is used when a healthcare provider performs the procedure to remove the electrode.

2. Official Description

The official description of CPT code 33272 is: ‘The provider removes a subcutaneous implantable defibrillator electrode from the patient’s heart without replacing it.’

3. Procedure

1. The healthcare provider prepares the patient for the procedure and administers anesthesia.
2. The provider makes an incision over the defibrillator device pocket or marks anatomical landmarks for incision.
3. The provider opens the device pocket and removes the subcutaneous device from the pocket.
4. The provider disconnects the device from the electrode.
5. The provider carefully removes the electrode through the subcutaneous tissue.
6. The provider stops any bleeding at the surgical site and closes the incision with sutures.

4. Qualifying circumstances

Patients who require the removal of a subcutaneous implantable defibrillator electrode are eligible for CPT 33272. This procedure is performed when the electrode needs to be removed without replacement. The patient must be appropriately prepped and anesthetized, and the healthcare provider must carefully remove the electrode through the subcutaneous tissue.

5. When to use CPT code 33272

CPT code 33272 should be used when a healthcare provider performs the removal of a subcutaneous implantable defibrillator electrode without replacing it. This code should not be used if the electrode is being repositioned or if an electrode is being inserted. It is important to accurately report the specific procedure performed.

6. Documentation requirements

To support a claim for CPT 33272, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for electrode removal
• Details of the procedure, including the incision site and technique used
• Confirmation that the electrode was successfully removed
• Any complications or additional procedures performed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 33272, ensure that the procedure performed is the removal of a subcutaneous implantable defibrillator electrode without replacement. It is important to accurately report the specific procedure performed and not to report codes for electrode insertion or repositioning. Review the documentation requirements and ensure that all necessary information is included in the claim.

8. Historical information

CPT 33272 was added to the Current Procedural Terminology system on January 1, 2015. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider removes a subcutaneous implantable defibrillator electrode from a patient’s heart without replacing it.
2. A surgeon performs the removal of a subcutaneous implantable defibrillator electrode during a scheduled procedure.
3. A cardiologist removes a malfunctioning subcutaneous implantable defibrillator electrode from a patient’s heart.
4. An electrophysiologist performs the removal of a subcutaneous implantable defibrillator electrode as part of a follow-up procedure.
5. A healthcare provider removes a subcutaneous implantable defibrillator electrode due to an infection at the site.
6. A surgeon removes a subcutaneous implantable defibrillator electrode during a revision surgery.
7. A cardiologist performs the removal of a subcutaneous implantable defibrillator electrode after the patient’s condition improves.
8. An electrophysiologist removes a subcutaneous implantable defibrillator electrode as part of a device upgrade.
9. A healthcare provider removes a subcutaneous implantable defibrillator electrode due to a patient’s request.
10. A surgeon performs the removal of a subcutaneous implantable defibrillator electrode during an emergency procedure.