Ask Dr. Z

"Under direct ultrasound guidance, we gained access into the right internal jugular vein via the modified Seldinger approach. A 7 French short sheath was placed in that area. Through that sheath, a screw-in pacing lead was delivered into the right ventricular apical septum where the screw was deployed under radiographic visualization... The pacing wire was sutured in place at the surface of the skin. The wire was attached to an externalized generator and programmed... Consider placement of permanent pacing system pending response to therapy." Would this be billed with unlisted code 93799 or with code 33216 since it is temporarily permanent?