Ask Dr. Z

"The anterior chest was prepped and draped in the usual sterile fashion. An incision was made over the generator. The capsule was incised, and the generator was removed from the pocket. A device pocket was fashioned. The pocket was flushed with Gentamicin irrigation solution. The generator was implanted in the pocket. The pocket was closed in layers using 2-0, 3-0, and 4-0 absorbable suture. The skin was closed with a subcuticular technique. Successful loop recorder implant pocket relocation." Would this be 33285 or 33999 or 17999 [33285-applicable for reporting implant and explant services associated with older implantable/insertable loop recorder (ILR) devices where medically appropriate]??