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Ask Terry: Here’s how to report lead revision within 90-day global

Question: How many times can you bill for a lead revision during the 90-day global period?

Answer: There are no frequency guidelines, per se, but the first time you’d report 33215 (Repositioning of previously implanted transvenous pacemaker or implantable defibrillator [right atrial or right ventricular] electrode) with modifier 78 to reflect an unplanned return to the operating room in the post op period. If this happens again, I would code it the same, and maybe add modifier XE for separate encounter. It couldn’t hurt.