2017 HOSPITAL OUTPATIENT PROCEDURES

1 PACEMAKER (PM) SYSTEM IMPLANTSo33206 Insert new or replace perm PM w/atrial lead (J1)o33207 Insert new or replace perm PM w/ventricular lead (J1)o33208 Insert new or replace perm PM w/atrial and ventricular leads (J1)o0387 TTranscatheter insert or replace perm leadless PM, ventricular (J1)PACEMAKER (PM) GENERATOR PROCEDURESo33212 Insert PM generator only; w/existing single lead (J1)o33213 Insert PM generator only; w/existing dual leads (J1)o33221 Insert PM generator only; w/existing multiple leads (J1)o33227 Remove perm PM generator w/replacement of PM generator; single lead system (J1)o33228 Remove perm PM generator w/replacement of PM generator; dual lead system (J1)o33229 Remove perm PM generator w/replacement of PM generator.

2 Multiple lead system (J1)o33233 Remove perm PM generator only (J1)o0388 TTranscatheter removal perm leadless PM, ventricularPACEMAKER LEADSo33210 Insert/replace temp lead/catheter single chamber lead (J1)o33211 Insert/replace temp dual chamber leads (J1)o33215 Reposition previously implanted transvenous right atrial or right ventricular lead, perm PM or implantable defibrillatoro33216 Insert single tranvenous lead, perm PM or implantable def ibrillator (J1)o33217 Insert 2 transvenous leads, perm PM or implantable def ibrillator (J1)o33218 Repair single transvenous lead, perm PM or implantable def ibrillatoro33220 Repair 2 transvenous leads, perm PM or implantable def ibrillatoro33224 Insert LV lead, attach to previously placed generator (J1)o+33225 Insert LV lead at time of generator implant (N)o33226 Reposition previously implanted LV leado33234 Remove transvenous PM electrode single lead system (Q2)o33235 Remove transvenous PM electrode(s) dual lead system (Q2)PACEMAKER (PM) OTHERo33214 Upgrade single PM to dual PM (includes removal of PM generator, test existing lead, insert new lead and insert new PM generator) (J1)o33222 Relocation of skin pocket for pacemaker IMPLANTABLE DEFIBRILLATOR GENERATOR PROCEDURESo33230 Insert implantable defibrillator generator only.

3 W/existing dual leads (J1)o33231 Insert implantable defibrillator generator only; w/existing multiple leads (J1)o33240 Insert implantable defibrillator generator only; w/existing single lead (J1)o33241 Remove implantable defibrillator generator only (Q2)o33262 Remove implantable defibrillator generator w/replacement of implantable defibrillator generator; single lead system (J1)o33263 Remove implantable defibrillator generator w/replacement of implantable defibrillator generator; dual lead system (J1)o33264 Remove implantable defibrillator generator w/replacement of implantable defibrillator generator; multiple lead system (J1)IMPLANTABLE DEFIBRILLATOR SYSTEM IMPLANTo33249 Insert or replace perm implantable defibrillator system, with transvenous lead(s).

4 Single or dual chamber (J1)o936 41 Test device/leads at initial implant or replacement (N)o33270 Insert or replace perm subcutaneous implantable defibrillator system (J1)IMPLANTABLE DEFIBRILLATOR LEADSo33210 Insert/replace temp lead/catheter single chamber lead (J1)o33211 Insert/replace temp dual chamber leads (J1)o33215 Reposition previously implanted transvenous right atrial or right ventricular lead, perm PM or implantable defibrillatoro33216 Insert single tranvenous lead, perm PM or implantable def ibrillator (J1)o33217 Insert 2 transvenous leads, perm PM or implantable def ibrillator (J1)o33218 Repair single transvenous lead, perm PM or implantable def ibrillatoro33220 Repair 2 transvenous leads, perm PM or implantable def ibrillatoro33224 Insert LV lead, attach to previously placed generator (J1)o+33225 Insert LV lead at time of generator implant (N)o33226 Reposition previously implanted LV leado33244 Remove single or dual implantable defibrillator lead(s).

5 By transvenous extraction (Q2)o33271 Insert subcutaneous defibrillator lead (J1)o33272 Remove subcutaneous implantable defibrillator electrode (Q2)o33273 Reposition previously implanted subcutaneous implantable defibrillator leadIMPLANTABLE DEFIBRILLATOR OTHERo33223 Relocation of skin pocket for implantable def ibrillatorCRT-P IMPLANT1o33206 Insert new or replace perm PM w/atrial lead (J1)o33207 Insert new or replace perm PM w/ventricular lead (J1)o33208 Insert new or replace perm PM w/atrial and ventricular leads (J1)o33212 Insert PM generator only; w/existing single lead (J1)o33213 Insert PM generator only; w/existing dual leads (J1)o33214 Upgrade single PM to dual PM (includes removal of PM generator, test existing lead, insert new lead and insert new PM generator) (J1)o33221 Insert PM generator only; w/existing multiple leads (J1)o+33225 Insert LV lead at time of generator implant (N)o33228 Remove perm PM generator w/replacement of PM generator; dual lead system (J1)o33229 Remove perm PM generator w/replacement of PM generator.

6 Multiple lead system (J1)OTHER COMMENTSoPatient NamePhysician o IP o OP o ICD Registry Page 1 of 2 | 2017 HOSPITAL Procedures1 Include the insertion of the LV lead at time of the generator implant (+33225).CPT copyright 2016. American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Access your CPT codebook for additional coding HOSPITAL OUTPATIENT PROCEDURESC ardiac Rhythm and Heart FailureDateCRT-D IMPLANT1o+33225 Insert LV lead at time of generator implant (N)o33230 Insert implantable defibrillator generator only; w/existing dual leads (J1)o33231 Insert implantable defibrillator generator only; w/existing multiple leads (J1)o33240 Insert implantable defibrillator generator only.

7 W/existing single lead (J1)o33249 Insert or replace perm pacing implantable defibrillator system with transvenous lead(s); single or dual chamber (J1)o33263 Remove implantable defibrillator generator w/replacement of implantable defibrillator generator; dual lead system (J1)o33264 Remove implantable defibrillator generator w/replacement of implantable defibrillator generator; multiple lead system (J1)o936 41 Test device/leads at initial implant or replacement (N)COMPREHENSIVE EP EVALUATIONSo93619 Comp EP eval; RA and RV pacing/recording/Hiso93620 Comp EP eval w/arrhythmia; RA and RV pacing/recording/Hiso+93621 Comp EP eval w/arrhythmia; LA pacing/recording from CS or LA (N)o+93622 Comp EP eval w/arrhythmia.

8 LV pacing/recording (N)o+93623 Programmed stimulation and pacing after IV drug infusion (N)RECORDING, MAPPING, AND OTHER PROCEDURESo9360 0 Bundle of His recordingo93602 Intra-atrial recordingo93603 Right ventricular recordingo+93609 Intraventricular and/or intra-atrial mapping of tachycardia (N)o93610 Intra-atrial pacingo93612 Intraventricular pacingo+93613 Intracardiac electrophysiologic 3D mapping (N)o93615 Esophageal recording of atrial electrogramo93616 Esophageal recording of atrial electrogram w/pacingo93618 Induction of arrhythmia by electrical pacingo93624EP follow-up w/pacing/recording w/induction or attempted induction of arrhythmiao93631 Intra-operative epicardial/endocardial pacing/mapping (N)o93660 Tilt table evaluationCATHETER ABLATIONS (Review your CPT codebook for the applicable Add-on codes)o+93462 Left heart catheterization by transseptal puncture (N)o93650 Catheter ablation AV node with or w/o temporary pacemaker (J1)o93653 EPS with RA pacing/recording, RV pacing/recording (when necessary), and His recording (when necessary) with catheter ablation of arrhythmogenic focus; with treatment of SV T (J1)o93654 EPS with RA pacing/recording, RV pacing/recording (when necessary), and His recording (when necessary) with catheter ablation of arrhythmogenic focus.

9 With treatment of VT including 3D mapping, when performed, and LV pacing/recording, when performed (J1)o+93655 Catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (Use 93655 in conjunction with 93653, 93654, 93656) (N)o93656 EPS including transseptal catheterizations, with LA or RA pacing/recording, when necessary, RV pacing/recording when necessary, and His bundle recording when necessary with catheter ablation of AF by PVI (J1)o+93662 Intracardiac echo during intervention/includes imaging (N)o+93657 Additional linear or focal catheter ablation of the left or right atrium for treatment of atrial f ibrillation remaining after completion of pulmonary vein isolation (Use 93657 in conjunction with 93656) (N)CARDIOVERSIONo92960 Cardioversion, elective, conversion of arrhythmia, externalo92961 Cardioversion, elective, conversion of arrhythmia, internalEP IMPLANTABLE DEFIBRILLATOR DEVICE FOLLOW-UPo93642EP evaluation transvenous single/dual implantable defibrillator (J1)o93644EP evaluation subcutaneous implantable defibrillator (N)TRANSTHORACIC ECHOCARDIOGRAPHYo93303 Echo transthoracic, congenital; completeo93304 Echo transthoracic, congenital.

10 Follow-up or limited studyo93306 Echo transthoracic 2D, complete w/spectral and color flow Dopplero93307 Echo transthoracic 2D, complete w/o spectral or color flow Dopplero93308 Echo transthoracic 2D, follow-up or limited studyo+93320 Doppler pulsed and/or continuous wave with spectral display; complete (N)(Use 93320 in conjunction with 93303, 93304)o+93321 Doppler pulsed and/or continuous wave with spectral display; follow-up or limited study (N)(Use 93321 in conjunction with 93303, 93304, 93308)o+93325 Doppler echo color flow velocity mapping (N)(Use 93325 in conjunction with 93303, 93304, 93308)ILR (IMPLANTABLE LOOP RECORDER)o33282 Implant patient-activated cardia