Separate SVC injection/access site from PM upgrade to BiVen ICD

June 12, 2017

Question:

If there is a separate access site/injection for imaging of the SVC and coronary sinus to evaluate the placement of an LV lead during a dual pacemaker upgrade to a biventricular ICD (with LV port capped), can we code separately for the SVC imaging/catheter placement? Ordinarily we know this is included with lead placements, but if the lead was not placed via this injection site, can we code 36010/75827 along with the dual pacemaker upgrade to biventricular ICD (LV port capped) with replacement of right ventricular lead (33249, 33233, and 33235)?

Question ID: 9435
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