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Duel lead PM to Biventricular PM ?

Date: May 24, 2021

Question:

I have a procedure that I am not sure how to code. It is supposed to be an upgrade from a dual PM to biventricular PM.

“Due to inability to place the lead, we pivoted to placing His-bundle lead. Medtronic 3830 lead placed with good His bundle recording and selective capture. All sheaths were slit and pre and post slit numbers remained consistent. The lead was then secured to the subpectoral floor using 0 ethibond suture x2. The His lead was placed in the new device header (RV port). The atrial and ventricular leads were removed and placed within the new device header. The RV lead was placed in the LV port (programmed RV-> LV 80 msec).“

The new lead was placed in the RV port, and the retained RV lead was place in the LV port. So would you bill 33207 and 33233?

Question ID : 15523
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