Cardiology Question for the Week of April 17, 2017


We explanted the dual-system permanent pacemaker and then we implanted two new leads and attached them to the existing pacemaker on the other side of the chest. I can’t find one CPT code that captures what we did. Can you offer me insight into how you would code this?


There isn’t one code that covers this procedure.  As with many of the pacemaker/ICD procedures, it takes multiple codes to cover what was done.  In this case, you would report the following:

33222 Relocation of skin pocket for pacemaker
33235 Removal of transvenous pacemaker electrode(s); dual lead system
33217 Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator



CPT® copyright 2022 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, 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.

CPT is a registered trademark of the American Medical Association.