Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,000 coding questions and answers dating back to 2010.

Ask Dr. Z Disclaimer

documentation of pocket relocation

Date: Mar 15, 2021


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."

Sign up for a membership to view the answer to this question.

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!