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HIS LEAD PLACEMENT WITH PACEMAKER UPGRADE

Date: Nov 6, 2020

Question:

"The pacemaker was explanted. Atrial and ventricular leads assessed. New subcutaneous pocket created. His mapping, recording, and pacing performed under fluoro. Three positions attempted. Final new lead position - His. Device connected to all three leads." His lead not stated for LV pacing. Diagnoses are chronic diastolic heart failure, new nonischemic cardiomyopathy from RV pacing, chronic atrial fib, complete heart block. LVEF is 40-44%. Would you consider 33225 for placement of His lead with 33229 as primary code? Position for His lead is HBP per registration.

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