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Chronic RV lead into LV port

Date: Apr 14, 2021

Question:

I am not sure what is the correct coding: 33226 or 33207/33233.

"Insertion of new right ventricular septal lead. Upgrade of existing dual-chamber permanent pacing system to a biventricular pacemaker, with new RV septal lead inserted into the RV port and existing chronic RV apical septal lead inserted into the LV port. Atrial lead pin (implanted 1999) was inserted in the atrial port of the new device."

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