Question:
Can we bill for a temporary pacemaker (33210) and permanent pacemaker (33208) performed on the same day but at different sessions if modified appropriately?
Answer:
If these procedures were done at different sessions for medically necessary reasons, then the hospital could add modifier -59 and bill both of the following codes:
| 33210 | Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) |
| 33208 | Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular |
Documentation would have to be clear as to the reason why they were done at separate sessions.
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