Which CPT® codes are reported for the removal and replacement of a permanent dual chamber transvenous pacemaker system?

The removal and replacement of a permanent dual chamber transvenous pacemaker system involves a specific set of CPT® codes that accurately describe the procedures performed.

In this case, the combination of codes in the correct answer—33235, 33208-51, and 33233-51—appropriately reflects the procedures involved in the removal and replacement of the pacemaker system. Each of these codes serves a distinct purpose in detailing the components of the procedure.

33235 specifically pertains to the removal of a dual chamber pacemaker or internal pulse generator, while 33208 describes the insertion of a pacing electrode in the right atrium, which is essential when replacing the pacemaker. The code 33233-51 is used to indicate the implantation of a pacing lead in the right ventricle during this procedure. This combination accurately represents the full scope of the procedural work, capturing both the removal and the necessary replacements, along with the appropriate modifiers where applicable.

This clear categorization is why option C stands out as the correct choice for accurately coding this procedure in a clinical setting.