CPT code 33249 refers to a medical procedure where a doctor places or replaces a small device in the body to help regulate the heartbeat.
Procedure Explanation:
This procedure involves putting in or replacing a special device called a defibrillator that is permanently placed inside the body. The defibrillator is connected to the heart with wires, and it can be set up with one or two wires (leads). What is included in this procedure are the insertion of the device and the necessary leads. The procedure does not cover separate steps like monitoring or adjustments that might be done later.
Common Names:
- ICD Implantation
- Defibrillator Placement
- Transvenous ICD Insertion
Relative Value Units (RVU):
The RVUs associated with this code are 14.92.
How This Procedure Appears:
- Operating Room Schedule Name: Implantable Defibrillator Insertion
- Surgical Consent Form Name: Implantation or Replacement of Defibrillator with Leads
Typical Patients and Diagnoses:
This procedure is commonly used for patients who have serious heart rhythm problems. For example, someone who has experienced a heart attack or has a condition causing their heart to beat irregularly might undergo this procedure. It is especially helpful for people at risk of sudden cardiac arrest.
Associated ICD-10 Codes:
- I25.5: Ischemic cardiomyopathy, which is a weakening of the heart muscle caused by lack of blood flow.
- I42.0: Dilated cardiomyopathy, a condition where the heart’s ability to pump blood is decreased because the heart’s main pumping chamber is enlarged and weakened.
- I50.22: Chronic systolic heart failure, which is a long-term condition where the heart doesn’t pump effectively.
Summary
In summary, code 33249 describes the process of inserting or replacing a defibrillator device in the body to help with heart rhythm issues. Typical ICD-10 codes associated with 33249 include I25.5 (ischemic cardiomyopathy) and I42.0 (dilated cardiomyopathy).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.