Ask Dr. Z

I could use your help with this case ICD case. The first epicardial LV has failed, and the pocket was open to utilize the second LV lead. The generator was not changed; only the second epicardial lead was accessed/connected and the previous lead was capped. Here is part of the actual report: "The previously capped second epicardial LV lead was seen on the floor of the pocket, dissected out from the chronic scar tissue. The cap was then removed from the lead. The currently used LV lead was then disconnected from the chronic header, and the previously capped LV lead was connected to the header. Adequate sensing, impedance, and capture thresholds were confirmed through the second epicardial LV lead. The previously utilized but fractured epicardial lead was then capped and placed in the pocket. The device and leads were inserted in the pocket with care to ensure that the leads were beneath the device. The pocket was irrigated with antibiotic-containing solution." Would I report code 33999 for this scenario?