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LV Lead Replacement Following a PM Upgrade

Date: Jul 18, 2019

Question:

Day #1: Patient had a dual PM upgraded into biventricular PM with only an LV lead inserted. CPT 33229, 33225. Day #2: Patient returned to the OR due to LV lead dislodgement. Repositioning attempted but unsuccessful. LV lead was then replaced. CPT 33234, 33224. Both procedures occurred under the same facility encounter. For facility coding, would it be appropriate to report the LV lead replacement on day #2?

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