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Removal of Active Fixation Lead Used for Temp Pacing

Date: Jul 23, 2021

Question:

Patient had an active fixation lead that was attached to an external generator being used for temporary pacing. When the patient had a DC PPM implanted, the active fixation lead was "unscrewed" from the RV and removed from the patient. It was not used in the newly implanted DC PPM. So, 33208 is coded for DC PPM insertion. Can the active fixation lead removal be coded (33234)? Or is it considered bundled into the PPM insertion procedure?

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