Implantable Cardioverter Defibrillator (ICD) and

Cardiac Resynchronization Therapy for Defibrillators

(CRT-D) Procedures
FREQUENTLY USED CPT‡ CODES - HOSPITAL OUTPATIENT AND PHYSICIAN SERVICES

HOSPITAL NAME ___________________________________________________ PROCEDURE DATE____________________________________________________

PHYSICIAN NAME __________________________________________________ PHYSICIAN SIGNATURE ______________________________________________

Applicable FARS/DFARS Restrictions Apply to Government Use. Fee schedules, relative value units, conversion factors and/or related
components are not assigned by the AMA, are not part of CPT‡ coding, and the AMA is not recommending their use. The AMA does not directly
or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.*

This list is not inclusive of all Implantable Cardioverter Defibrillator (ICD) and Cardiac Resynchronization Therapy for Defibrillators (CRT-D)
procedure scenarios. The document does not represent any opinion or endorsement by Abbott of any particular approach to patient management
or treatment. It is provided for illustrative and educational purposes only.

INSERTION OR REPLACEMENT REMOVAL ONLY

Replacement of a pulse generator should be reported with a code _______ 33241 Subcutaneous removal of single or dual chamber
for removal of the pulse generator and a code for the insertion of pacing cardioverter-defibrillator pulse generator
the pulse generator. _______ 33244 Removal of single or dual chamber cardioverter-
defibrillator electrode(s); by transvenous
CRT-P requires the placement of a left ventricular (LV) lead, extraction
which is reported separately in addition to the single or dual
chamber ICD system. REPOSITIONING/REPAIR/REVISION
_______ 33215 Repositioning of previously implanted
ICD SYSTEM (pulse generator and leads) transvenous pacemaker or pacing cardioverter-
_______ 33249 Insertion or repositioning of electrode lead(s) for defibrillator (right atrial or right ventricular)
single or dual chamber pacing cardioverter- electrode
defibrillator and insertion of pulse generator _______ 33218 Repair of single transvenous electrode for a single
chamber, permanent pacemaker or single
PULSE GENERATOR ONLY (with existing leads) chamber pacing cardioverter-defibrillator (for
______ 33240 Insertion of single lead pacing cardioverter- atrial or ventricular single chamber repair of
defibrillator pulse generator pacemaker electrode[s] with replacement of pulse
_______ 33230 Dual lead generator, see 33212 or 33213 and 33218 or 33220)
_______ 33231 Multiple lead ______ 33220 Repair of two transvenous electrodes for a dual
chamber permanent pacemaker or dual chamber
LEAD(S) pacing cardioverter-defibrillator
______ 33223 Relocation of skin pocket for single or dual
_______ 33216 Insertion of a transvenous electrode; single lead
chamber pacing cardioverter-defibrillator
(one electrode)
______ 33226 Repositioning of previously implanted cardiac
_______ 33217 Dual lead (two electrodes)
venous system (left ventricular) electrode
_______+33224 Insertion of pacing electrode, cardiac venous
(including removal, insertion and/or replacement
system, for left ventricular pacing, with
of generator)
attachment to previously placed pacemaker or
pacing cardioverter-defibrillator pulse generator
(including revision of pocket, removal, insertion RADIOLOGICAL SUPERVISION AND INTERPRETATION
and/or replacement of generator) (when ______ 76000 Insertion pacemaker, fluoroscopy and
epicardial electrode placement is performed, radiography, radiological supervision and
report 33224 in conjunction with 33202, 33203) interpretation; diagnostic only
_______+33225 Insertion of pacing electrode, cardiac venous
system, for left ventricular pacing, at time of
insertion of pacing cardioverter-defibrillator or
pacemaker pulse generator (including upgrade to
dual-chamber system) (use in conjunction with
33206, 33207, 33208, 33212, 33213, 33214, 33216,
33217, 33222, 33230, 33231, 33233, 33234, 33235,
33240, 33249)
ELECTROPHYSIOLOGIC EVALUATION
______ 93640 Electrophysiologic evaluation of single or dual MODIFIERS
chamber pacing cardioverter-defibrillator leads Providers can indicate that a service or procedure has been
including defibrillation threshold evaluation altered by a specific circumstance but has not changed in its
(induction of arrhythmia, evaluation of sensing definition or code. For example, modifiers may be used to report:
and pacing for arrhythmia termination) at time of • Only the professional component (-26)
initial implantation or replacement • Multiple procedures performed at the same session by the
_______ 93641 With testing of single or dual chamber pacing same provider (-51)
cardioverter-defibrillator pulse generator • Distinct procedural service (-59)
_______ 93642 Electrophysiologic evaluation of single or dual • Co-surgery (-62)
chamber pacing cardioverter-defibrillator • That a procedure was discontinued (-53 for physician
(includes defibrillation threshold evaluation, reporting; -73 or -74 for hospital reporting)
induction of arrhythmia, evaluation of sensing Consult the current CPT and/or HCPCS manual for a complete
and pacing for arrhythmia termination, and listing of modifiers, their definitions and guidelines.
programming or reprogramming of sensing or
therapeutic parameters) REFERENCES
American Medical Association, Current Procedural Terminology
REMOVAL WITH REPLACEMENT (CPT). Professional Edition. Chicago, IL. American Medical
_______ 33262 Removal of ICD generator with replacement of Association, Current Procedural Terminology (CPT).
ICD generator; single lead system Professional Edition. Chicago, IL. https://www.ama-
_______ 33263 Dual lead system assn.org/practice-management/cpt-current-procedural-
_______ 33264 Multiple lead system terminology

TIMING OPTIMIZATION BY ECHOCARDIOGRAPHY https://www.cms.gov/Outreach-and-Education/Medicare-

_______ 93307 Echocardiography, transthoracic, real-time with Learning-Network-MLN/MLNProducts/AMA-Disclaimer.html
image documentation (2D), includes M-mode
recording, when performed, complete, without DISCLAIMER
spectral or color Doppler echocardiography (Do This document and the information contained herein is for
not report 93307 in conjunction with 93320, general information purposes only and is not intended, and does
93321, 93325) not constitute, legal reimbursement, business, clinical or other
_______ 93308 Echocardiography, transthoracic, real-time with advice. Furthermore, it does not constitute a representation or
image documentation (2D), includes M-mode guarantee of reimbursement, and it is not intended to increase or
recording, when performed, follow-up or limited maximize payment by any payer. Nothing in this document
study should be construed as a guarantee by Abbott regarding
______ +93320 Doppler echocardiography, pulsed wave and/or reimbursement or payment amounts, or that reimbursement or
continuous wave with spectral display; complete other payment will be received. The ultimate responsibility for
(Use in conjunction with 93303, 93304, 93312, obtaining payment/reimbursement remains with the customer.
93314, 93315, 93317, 93350, 93351) This includes the responsibility for accuracy and veracity of all
______ +93321 Follow-up or limited study (Use in conjunction claims submitted to third-party payers. In addition, the customer
with 93303, 93304, 93308, 93312, 93314, 93315, should note that laws, regulations, and coverage policies are
93317, 93350, 93351) complex and are updated frequently, and, therefore, the
______+93325 Doppler echocardiography color flow velocity customer should check with its local carriers or intermediaries
mapping (Use in conjunction with 76825, 76826, often and should consult with legal counsel or a financial or
76827, 76828, 93303, 93304, 93308, 93312, 93314, reimbursement specialist for any questions related to billing,
93315, 93317, 93350, 93351) reimbursement or any related issue. This information does not
guarantee coverage or payment at any specific level, and Abbott
Note: When tissue Doppler imaging (TDI) is used rather than does not advocate or warrant the appropriateness of the use of
Doppler color flow velocity, report unlisted cardiovascular code any particular code. This update reproduces information for
93799. reference purposes only. It is not provided or authorized for
marketing use.
ADD-ON CODES
Add-on codes are always performed in addition to the primary
service or procedure and must never be reported as a stand-
alone code. These codes are designated with the + symbol.

Abbott
One St. Jude Medical Dr., St. Paul, MN 55117, USA, Tel: 1 651 756 2000
SJM.com
St. Jude Medical is now Abbott.

Rx Only
Brief Summary: Prior to using these devices, please review the Instructions for Use for a
complete listing of indications, contraindications, warnings, precautions, potential adverse events
and directions for use.

™ Indicates a trademark of the Abbott group of companies.

‡ Indicates a third party trademark, which is property of its respective owner.
© 2018 Abbott. All Rights Reserved.
28103-SJM-HER-0518-0129 | Item approved for U.S. only.