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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 approach) 33203 endoscopic method (eg, thoracoscopy, pericardioscopy) (When epicardial lead placement is carried out by the identical physician at the similar session as insertion of the generator, report 33202, 33203 in conjunction with 33212, 33213, as applicable) 33206 Insertion of latest or replacement of permanent pacemaker with transvenous electrode(s); atrial 33207 ventricular 33208 atrial and ventricular (Codes 33206-33208 embrace subcutaneous insertion of the heart beat generator and transvenous placement of electrode(s)) 33210 Insertion or substitute of short-term transvenous single chamber cardiac electrode or pacemaker catheter (separate process) 33211 Insertion or alternative of temporary transvenous dual chamber pacing electrodes (separate process) 33212 Insertion of pacemaker pulse generator only; with current single lead 33213 with present dual leads (When epicardial lead placement is carried out with insertion of generator, report 33202, 33203 in conjunction with 33212, 33213) 33214 Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (consists of removing of beforehand placed pulse generator, testing of present lead, insertion of new lead, insertion of latest pulse generator) (Do not report 33214 along side 33227-33229) 33215 Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode 33216 Insertion of a single transvenous electrode, everlasting pacemaker or implantable defibrillator 33217 Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator 33218 Repair of single transvenous electrode, everlasting pacemaker or implantable defibrillator 33220 Repair of 2 transvenous electrodes for everlasting pacemaker or implantable defibrillator 33221 Insertion of pacemaker pulse generator only; with present a number of leads 33222 Relocation of skin pocket for pacemaker 33223 Relocation of 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, removing, insertion, and/or replacement of existing generator) (When epicardial electrode placement is carried out, report 33224 in conjunction with 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 in addition to major 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 (together with removal, insertion and/or replacement of present generator) 33227 Removal of everlasting pacemaker pulse generator with alternative of pacemaker pulse generator; single lead system 33228 twin lead system 33229 multiple lead system (Do not report 33227-33229 along side 33233) 33230 Insertion of implantable defibrillator pulse generator with current dual leads 33231 with current multiple leads (Do not report 33230, 33231, 33240 in conjunction with 33241 for removing and substitute of the pacing cardioverter-defibrillator pulse generator. 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