33230 ICD generator Medicare reimbursement rates in Florida

An electrophysiologist or other qualified cardiac device physician places an implantable cardioverter-defibrillator (ICD) pulse generator and connects it to two leads already in the patient. The procedure is performed in a hospital or other facility equipped for cardiac device implantation. It covers the generator work, not placement of new leads or implantation of an entire new transvenous ICD system.

Select this code when the documented service is generator insertion for an existing dual-lead system. The operative report should establish that two leads were present and connected to the new generator; a procedure that adds leads or implants the complete system is a different service. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this procedure, and co-surgeons and team surgery are not permitted.