documentation of pocket relocation
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."
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