Ask Dr. Z

Patient indicating pacemaker pocket pain returned to the procedure room in the hospital during 90-day global period. The provider documentation states pocket incision was opened and pacemaker removed from the pocket. The provider then states: "It was noted that one of the lead collar's wings was pointing up, and this wing was removed." The pacemaker was reinserted in pocket. The pacemaker was not detached from the leads, and the leads were not removed or revised per the report. I have been unable to find a CPT code to bill this. Should unlisted code 33999 be billed, and can this be billed in the global period?