2025 CPT code 33273
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Cardiovascular System Feed
Repositioning of previously implanted subcutaneous implantable defibrillator electrode.
Modifiers may be applicable. For example, modifier 22 may be used for increased procedural services, or modifier 59 for a distinct procedural service.
Medical necessity must be established by documenting the clinical indication for repositioning. This could include symptoms, diagnostic test results (e.g., ECG, imaging), or device diagnostics indicating suboptimal function due to electrode position.
The physician performs the repositioning of the S-ICD electrode.This includes pre-operative evaluation, the surgical procedure itself, and post-operative care. The physician ensures proper device function and patient safety.
In simple words: The doctor adjusts the position of a heart device wire that's under your skin. This wire, part of a defibrillator, helps keep your heart beating regularly.It might need adjusting if it moves or isn't working right.
This procedure involves repositioning a previously implanted subcutaneous implantable cardioverter-defibrillator (S-ICD) electrode.The electrode, placed under the skin, is part of a system that detects and corrects life-threatening heart rhythms. Repositioning may be necessary if the electrode migrates or malfunctions. The procedure typically includes accessing the device pocket, disconnecting the electrode, testing its function, repositioning and reconnecting it, and confirming proper system operation before closing the incision.
Example 1: A patient with a subcutaneous ICD experiences inappropriate shocks. Testing reveals electrode displacement, requiring surgical repositioning (33273)., Follow-up imaging shows a migrated S-ICD electrode.The patient undergoes repositioning (33273) to restore optimal device function., A patient develops discomfort at the S-ICD site.Examination reveals electrode malposition, necessitating surgical repositioning (33273).
Documentation should include the reason for repositioning (e.g., displacement, malfunction, patient discomfort), operative details, device information (manufacturer, model), and confirmation of proper system function after repositioning.
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