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Perm to temp. pacer with pocket infection
Question:
Please let me know if this is correct coding on this unusual case.
"Patient has infected pacemaker pocket (dual chamber). Removal of generator with debridement of pocket with swab sent to lab. I was unable to access left axillary vein using approach that did NOT involve the pocket. So instead, right atrial lead was freed up, and guidewire used to obtain new access to the left axillary vein. Using this access, new lead placed in RV. Using pacing through the pacing system analyzer to avoid asystole and then removed the old RA and RV leads. Irrigated and packed pocket. I attached the same pacemaker to the lead and placed it on the skin and programmed to VVI at 60 paces per min."
I'm thinking: 11042 pocket debride, 33216 new RV lead, 33233 removal generator (looks like used now as temp. external) and 33235 for removal two leads?
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