Ask Dr. Z
Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.
Ask Dr. Z Disclaimer
Please note this question was answered in 2021. The coding advice may or may not be outdated.
documentation of pocket relocation
Date: Mar 15, 2021
Question:
Patient had an ICD generator replaced. Patient was having discomfort with the location of the pocket. We are having a disagreement as to whether this documentation supports a pocket relocation (33223), or whether it is a pocket revision and not a true relocation. Please advise.
"With the lateral pocket, we dissected medially and placed the generator as far medial that the leads would allow and sutured it to the pectoral muscle. The lateral margin on the pocket was closed with 2-0 vicryl. A Tyrx pouch was used."
Need to ask Dr.Z?
Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!Ask Dr. Z a question now!