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Version 2020 Page a hundred and one of 258 Physician Procedure Codes, Section 5 Surgery 33202 Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid method) 33203 endoscopic approach (eg, thoracoscopy, pericardioscopy) (When epicardial lead placement is performed by the identical doctor at the identical session as insertion of the generator, report 33202, 33203 in conjunction with 33212, 33213, as applicable) 33206 Insertion of latest or alternative of permanent pacemaker with transvenous electrode(s); atrial 33207 ventricular 33208 atrial and ventricular (Codes 33206-33208 embody subcutaneous insertion of the heartbeat generator and transvenous placement of electrode(s)) 33210 Insertion or substitute of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate process) 33211 Insertion or replacement of short-term transvenous dual chamber pacing electrodes (separate process) 33212 Insertion of pacemaker pulse generator solely; with current single lead 33213 with existing dual leads (When epicardial lead placement is performed with insertion of generator, report 33202, 33203 along side 33212, 33213) 33214 Upgrade of implanted pacemaker system, conversion of single chamber system to twin chamber system (contains removal of previously placed pulse generator, testing of current lead, insertion of new lead, insertion of new pulse generator) (Do not report 33214 in conjunction with 33227-33229) 33215 Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (proper atrial or proper ventricular) electrode 33216 Insertion of a single transvenous electrode, everlasting pacemaker or implantable defibrillator 33217 Insertion of 2 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 current multiple 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 placed pacemaker or implantable defibrillator pulse generator (together with revision of pocket, removal, insertion, and/or replacement of existing generator) (When epicardial electrode placement is performed, report 33224 at the side of 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 improve to twin chamber system) (List individually in addition to primary procedure) (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 (including elimination, insertion and/or alternative of existing generator) 33227 Removal of everlasting pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system 33228 dual lead system 33229 a number of lead system (Do not report 33227-33229 in conjunction with 33233) 33230 Insertion of implantable defibrillator pulse generator with present twin leads 33231 with existing multiple leads (Do not report 33230, 33231, 33240 at the side of 33241 for elimination and replacement of the pacing cardioverter-defibrillator pulse generator. 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