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Version 2020 Page one hundred and one of 258 Physician – Procedure Codes, Section 5 – Surgery 33202 Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach) 33203 endoscopic method (eg, thoracoscopy, pericardioscopy) (When epicardial lead placement is carried out by the same doctor on the identical session as insertion of the generator, report 33202, 33203 along side 33212, 33213, as acceptable) 33206 Insertion of new or substitute of everlasting pacemaker with transvenous electrode(s); atrial 33207 ventricular 33208 atrial and ventricular (Codes 33206-33208 include subcutaneous insertion of the heartbeat generator and transvenous placement of electrode(s)) 33210 Insertion or replacement of momentary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) 33211 Insertion or alternative of momentary transvenous twin chamber pacing electrodes (separate procedure) 33212 Insertion of pacemaker pulse generator solely; with existing single lead 33213 with current twin leads (When epicardial lead placement is carried out with insertion of generator, report 33202, 33203 at the side of 33212, 33213) 33214 Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (contains removal of beforehand placed pulse generator, testing of current lead, insertion of recent lead, insertion of new pulse generator) (Do not report 33214 at the side of 33227-33229) 33215 Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (proper atrial or right ventricular) electrode 33216 Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator 33217 Insertion of two transvenous electrodes, everlasting pacemaker or implantable defibrillator 33218 Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator 33220 Repair of two transvenous electrodes for permanent pacemaker or implantable defibrillator 33221 Insertion of pacemaker pulse generator solely; with existing a number of leads 33222 Relocation of pores and skin pocket for pacemaker 33223 Relocation of pores and skin pocket for implantable defibrillator 33224 Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to beforehand positioned pacemaker or implantable defibrillator pulse generator (including revision of pocket, removal, insertion, and/or replacement of present generator) (When epicardial electrode placement is carried out, report 33224 along side 33202, 33203) 33225 Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system) (List separately along with main process) (Use 33225 at the side of 33206, 33207, 33208, 33212, 33213, 33214, 33216, 33217, 33221,33223, 33228, 33229, 33230, 33231, 33233, 33234, 33235, 33240, 33249, 33263, 33264) Version 2020 Page 102 of 258 Physician – Procedure Codes, Section 5 – Surgery 33226 Repositioning of previously implanted cardiac venous system (left ventricular) electrode (together with elimination, insertion and/or substitute of present generator) 33227 Removal of everlasting pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system 33228 twin lead system 33229 a number of lead system (Do not report 33227-33229 at the side of 33233) 33230 Insertion of implantable defibrillator pulse generator with current twin leads 33231 with existing multiple leads (Do not report 33230, 33231, 33240 along side 33241 for removal and alternative of the pacing cardioverter-defibrillator pulse generator. 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