2025 CPT code 33216
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures - Cardiovascular System Procedures Surgery Feed
Insertion of a single transvenous electrode for a permanent pacemaker or implantable cardioverter-defibrillator.
Modifiers may be appropriate to indicate multiple procedures (51), reduced services (52), or other relevant circumstances.Consult the CPT manual for appropriate modifier use.
Medical necessity is established when there is documentation supporting the need for lead replacement (e.g., imaging evidence of lead fracture, insulation break, or other lead malfunction) impacting pacemaker or ICD function and causing symptoms or compromising the device's ability to provide adequate pacing or defibrillation.
The cardiologist or cardiac surgeon is responsible for the insertion of the transvenous electrode, including pre-procedure assessment, image guidance (if used), electrode placement, connection to the pulse generator, and post-procedure system evaluation.
In simple words: This procedure involves placing a new wire (electrode) into the heart to connect to a pacemaker or defibrillator already implanted.It's done when the old wire isn't working properly.
This CPT code, 33216, represents the insertion of a single transvenous electrode into a permanent pacemaker or implantable cardioverter-defibrillator (ICD) system.This procedure is typically performed when an existing pacemaker or ICD requires an electrode replacement due to malfunction or other issues. The procedure involves the introduction of an electrode catheter through a vein (usually subclavian or jugular), guided by imaging techniques if necessary, to the appropriate cardiac chamber.The existing electrode is removed and replaced with a new one, which is then connected to the existing pulse generator. Post-procedure system functionality is evaluated.
Example 1: A 70-year-old patient with a permanent pacemaker experiences intermittent loss of capture.Electrophysiological studies show the problem originates from a fractured lead.33216 is used to replace the malfunctioning lead., A 65-year-old patient with an ICD implanted 5 years ago requires lead revision due to insulation damage identified on routine follow-up imaging. 33216 is used to address the damaged lead., A 75-year-old patient with a dual-chamber pacemaker needs a single ventricular lead replacement due to lead fracture.Only one lead needs to be replaced; therefore, 33216 is the appropriate code to use.
Pre-operative assessment (including patient history and physical examination), imaging studies (if used) showing lead placement, operative report detailing the procedure, post-operative evaluation of pacemaker/ICD function, and any complications encountered.
** This code should only be used when a single transvenous electrode is inserted.For dual or multiple lead insertions, other CPT codes are appropriate.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Cardiology, Cardiac Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center