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ICD IMPLANT FAILED LV LEAD PLACEMENT

Date: Dec 15, 2020

Question:

"ICD lead advanced to RV apical septum. A paced-sense lead was advanced to the RA. Coronary sinus was cannulated. There was a very small posterolateral branch and a decent size lateral branch. Lateral branch had severe tortuosity at its proximal portion. There were not suitable other branches. I attempted to wire and advance an LV lead in the lateral branch, but this was not successful. I decided to abandon further attempts. A new dual chamber ICD pulse generator was connected to the lead and placed in the existing pocket."  Should only the successful procedure be coded with 33249? Should there be any coding in regards to the LV lead that was not placed?

Question ID : 14787
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