CARDIOVASCULAR SYSTEM CPT CODES
Revised Codes – Pacemaker/Implantable Defibrillator
33215 Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode
33216 Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator
33217 Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator
33218 Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator
33220 Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator
33223 Relocation of skin pocket for implantable defibrillator
33224 Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to previously placed pacemaker or implantable defibrillator pulse generator (including revision of pocket, removal, insertion, and/or replacement of existing generator)
Revised Codes – Pacemaker/Implantable Defibrillator
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 code for primary procedure)
33230 Insertion of implantable defibrillator pulse generator only; with existing dual leads
33231 Insertion of implantable defibrillator pulse generator only; with existing multiple leads
33240 Insertion of implantable defibrillator pulse generator only; with existing single lead
33241 Removal of implantable defibrillator pulse generator only
33243 Removal of single or dual chamber implantable defibrillator electrode(s); by thoracotomy
33244 Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction
Revised Codes – Pacemaker/Implantable Defibrillator
33249 Insertion or replacement of permanent implantable defibrillator system with transvenous lead(s), single or dual chamber
33262 Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system
33263 Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system
33264 Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system
New Codes – Pacemaker/Implantable Defibrillator
33270 Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneous electrode, including defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters, when performed
33271 Insertion of subcutaneous implantable defibrillator electrode
33272 Removal of subcutaneous implantable defibrillator electrode
33273 Repositioning of previously implanted subcutaneous implantable defibrillator electrode
Deleted code – Aorta and Great Vessels
33332 Insertion of graft, aorta or great vessels; with shunt bypass
New code – Aorta and Great Vessels
33418 Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis
+33419 ; additional prosthesis(es) during same session
Deleted code – Pulmonary Valvotomy
33472 Valvotomy, pulmonary valve, open heart; with inflow occlusion
New Codes – Extracorporeal membrane oxygenation (ECMO) /extracorporeal life support (ECLS)
33946 Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-venous
33947 ; initiation, veno-arterial
33948 ; daily management, each day, veno-venous
33949 ; daily management, each day, veno-arterial
33951 ; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age (includes fluoroscopic guidance, when performed)
33952 ; … 6 years and older …
33953 ; insertion of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age
33954 ; …6 years and older
33955 ; insertion of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age
33956 ;…6 years and older
33957 ;reposition peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age (includes fluoroscopic guidance, when performed)
33958 ;… 6 years and older …
33959 reposition peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age …
33962 ;… 6 years and older …
33963 ;reposition of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age …
33964 ;… 6 years and older …
33965 ;removal of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age
33966 ;… 6 years and older
33969 ;removal of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age
33984 ; … 6 years and older
33985 ; removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age
33986 ; … 6 years and older
33987 Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS
33988 Insertion of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS
33989 Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS
Deleted Codes- ECMO
33960 Prolonged extracorporeal circulation for cardiopulmonary insufficiency; initial day
33961 ; each subsequent day
36822 Insertion of cannula(s) for prolonged extracorporeal circulation for cardiopulmonary insufficiency (ECMO) (separate procedure)
Deleted Codes- Destruction of Vein
36469 Single or multiple injections of sclerosing solutions, spider veins (telangiectasia); face
Revised Codes – Stenting
37215 Transcatheter placement of intravascular stent(s), cervical carotid artery, percutaneous; with distal embolic protection
37216 ; without distal embolic protection
37217 Transcatheter placement of an intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, via open ipsilateral cervical carotid artery exposure, including angioplasty, when performed, and radiological supervision and interpretation
37236 Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery
37237 ; each additional artery (List separately in addition to code for primary procedure)
New Code – Stenting
37218 Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiological supervision and interpretation