CPT® Code 33275

Transcatheter removal of permanent leadless pacemaker, right ventricular, including imaging guidance (eg, fluoroscopy, venous ultrasound, ventriculography, femoral venography), when performed

The CPT® Code 33275 refers to the transcatheter removal of a permanent leadless pacemaker from the right ventricle, which is a specialized procedure performed under imaging guidance. Leadless pacemakers are compact devices that consist of a pulse generator, a built-in battery, and an electrode, designed to regulate heart rhythms without the need for traditional leads. This procedure is typically indicated when there is a need to remove a previously implanted leadless pacemaker, which may be necessary due to complications, device malfunction, or patient-specific factors. The removal process involves accessing the femoral vein, utilizing imaging techniques such as fluoroscopy, venous ultrasound, ventriculography, or femoral venography to guide the retrieval of the device. The procedure is performed with precision to ensure the safety and effectiveness of the removal, minimizing risks associated with the intervention. Understanding the technical aspects and indications for this procedure is essential for medical coders and healthcare professionals involved in the billing and documentation processes related to cardiac device management.