What code(s) should be reported for repositioning an implanted transvenous pacemaker electrode?

The correct code for repositioning an implanted transvenous pacemaker electrode is 33215. This code specifically represents the procedure of repositioning or replacing an electrode when an existing pacemaker or implanted cardioverter-defibrillator (ICD) system is already in place.

In the context of coding for cardiovascular procedures, 33215 is designated for when a pacemaker lead is being adjusted in its placement, which is crucial for ensuring proper pacing and capturing by the device. The procedure focuses on those instances where the lead's position may need correction for optimal function, making this code the appropriate choice.

The other codes listed pertain to different aspects of pacemaker and ICD procedures. For example, 33206 relates to the initial placement of a transvenous pacemaker lead, while 33230 is used for the removal of an existing lead. Similarly, 33228 is intended for the replacement of a pulse generator in a pacemaker system but does not cover the repositioning of leads. Understanding the specific contexts in which each of these codes is applied is key to accurate surgical coding.