Ask Dr. Z

How should this be coded? 33237-52 along with 33213 for insertion? "PROCEDURE: The patient was brought to the operating room, put in a supine position on the OR table, and was endotracheally intubated for induction of general anesthesia. We prepped and draped the left chest in standard fashion. We then used some Marcaine in the skin. We placed a small incision in the left chest over the previous incision, went in between the ribs, and entered the left chest and pleura. We identified the pacemaker box, which was full floating freely within the pleura, and we were able to pull it in and exchanged it out without any problem. There were two leads, one ventricular and one atrial, that were reconnected to the new pacemaker generator. We used the antibiotic and pocket placed around the device, and then we placed it back into the chest cavity. We closed the incision in multiple layers. We placed a small 24 French Blake drain, and then the patient was then awakened and brought to the cardiac recovery room in stable condition."