CPT code 33264 refers to a procedure for replacing a key part of an implanted heart device that helps control irregular heartbeats.
Procedure Explanation:
This procedure involves taking out the existing main component of a heart device, known as an implantable defibrillator, and replacing it with a new one. This process includes multiple wire connections that link the device to the heart. It’s important to note that this procedure specifically covers the replacement of the main device, not other parts or accessory procedures.
Common Names:
- Defibrillator Generator Replacement
- ICD Pulse Generator Exchange
- Defibrillator Device Upgrade
Relative Value Units (RVU):
The RVUs associated with this code are 6.35.
How This Procedure Appears:
- Operating Room Schedule Name: Defibrillator generator replacement with multiple lead connections
- Surgical Consent Form Name: Replacement of implanted defibrillator and leads
Typical Patients and Diagnoses:
This procedure is typically used for patients who already have a defibrillator implanted but need the main component replaced. This often happens if the device is nearing the end of its battery life or if there are advancements in technology that offer a better solution. For example, a patient who has been diagnosed with a serious heart rhythm disorder might need this replacement to ensure their heart device continues to function effectively.
Associated ICD-10 Codes:
- I49.5: This code represents sudden cardiac arrest, where the heart unexpectedly stops functioning.
- I47.2: This is for ventricular tachycardia, a condition where the heart beats too fast due to electrical signal issues in the lower heart chambers.
- Z95.810: Indicates the presence of an electronic cardiac device, used to note that a patient has a defibrillator already implanted.
Summary
In summary, code 33264 describes the process of swapping out the main part of a heart-assisting device to ensure it continues to manage abnormal heart rhythms. Typical ICD-10 codes associated with 33264 include I49.5 (Sudden cardiac arrest) and I47.2 (Ventricular tachycardia).
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.