2.Under fluoroscopy, the pacing lead(s) are inserted into the right atrium (33206) or right ventricle (33207) for a single chamber system, or into the right atrium and right ventricle for a dual chamber system (33208).
3.Lead measurement tests, including pacing and sensing thresholds and lead impedances, are performed.
4.The pacemaker pulse generator (included in 33206, 33207, and 33208) is connected to the lead(s) thatare in place.
PACEMAKER 2012 Billing and Coding Guide
Commonly Billed Pacemaker Scenarios
Key:Moderate sedation (For these procedures, moderate [conscious] sedation is included and cannot be billed separately when provided by the same physician. See AMA’s 2012 Current Procedural Terminology for specific guidelines.)+ Add-on code
Physician CPT® Codes1
Hospital Outpatient CPT® Codes2
Hospital Inpatient ICD-9-CM Codes3
1.1 Initial single chamber rate-responsive pacemaker system implant with right atrial lead
Scenario 1.1: Physician CPT® Codes1
33206 Insertion of new or replacement of permanent pacemaker with transvenous
electrode(s); atrial
Scenario 1.1: Hospital Outpatient CPT® Codes2
33206 Insertion of new or replacement of permanent pacemaker with transvenous
electrode(s); atrial
Scenario 1.1: Hospital Inpatient ICD-9-CM Codes3
37.73 Initial insertion of transvenous lead [electrode] into atrium
Excludes:
• Insertion of temporary transvenous pacemaker system (37.78) • Replacement of atrial and/or ventricular lead(s) (37.76)
37.82 Initial insertion of single chamber device, rate responsive
• Rate responsive to physiologic stimuli other than atrial rate
Excludes:
• Replacement of existing pacemaker device (37.85–37.87)
1.2 Initial single chamber rate-responsive pacemaker system implant with right ventricular
leadScenario 1.2: Physician CPT® Codes1
33207 Insertion of new or replacement of permanent pacemaker with transvenous
electrode(s); ventricular
Scenario 1.2: Hospital Outpatient CPT® Codes2
33207 Insertion of new or replacement of permanent pacemaker with transvenous
electrode(s); ventricular
Scenario 1.2: Hospital Inpatient ICD-9-CM Codes3
37.71 Initial insertion of transvenous lead [electrode] into ventricle
Excludes:• Insertion of temporary transvenous pacemaker system (37.78)
• Replacement of atrial and/or ventricular lead(s) (37.76)
37.82 Initial insertion of single chamber device, rate responsive
• Rate responsive to physiologic stimuli other than atrial rate
Excludes:
• Replacement of existing pacemaker device (37.85-37.87)
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