2025 CPT code 33272
(Active) Effective Date: N/A Revision Date: N/A Surgery - Cardiovascular System Procedures Surgery Feed
Removal of a subcutaneous implantable defibrillator electrode.
Modifiers may be applicable depending on the circumstances (e.g., 22 for increased procedural services, 51 for multiple procedures, 59 for distinct procedural service).
Medical necessity is established by the presence of complications (infection, lead fracture, device malfunction), or when the device is no longer indicated clinically.Documentation supporting the indication for removal is crucial.
A cardiologist or cardiac surgeon typically performs this procedure.Responsibilities include patient assessment, surgical planning, device removal, hemostasis, and wound closure. Post-operative care instructions are also given.
In simple words: The doctor removes a device placed under the skin that helps prevent dangerous heart rhythm problems. This involves a small incision to access the device, remove it, and close the incision.
This CPT code describes the surgical removal of a subcutaneous implantable defibrillator (S-ICD) electrode.The procedure involves accessing the device pocket, disconnecting the electrode from the device, and carefully removing the electrode through the subcutaneous tissue. Hemostasis and wound closure are included.
Example 1: A patient experiences local infection at the S-ICD implantation site requiring electrode removal., A patient develops lead fracture and the device is deemed non-functional and needs removal., A patient no longer requires the device due to improved cardiac health and requests removal.
Pre-operative assessment, operative report detailing technique and findings, and post-operative assessment/follow-up notes.
** Always verify code accuracy with the most current CPT codebook and payer guidelines.Thorough documentation is crucial for proper coding and reimbursement.
- RVU: RVUs vary by geographic location and payer. Consult a local fee schedule for current values.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule: Fee schedules vary by payer and location.Historical fee data can be found in archival fee schedules available from payers and other relevant sources.
- Specialties:Cardiology, Cardiac Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center