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Aborted Dual Chamber PM upgrade to CRT-P

Date: Aug 11, 2021

Question:

Per provider documentation: "We then attempted to wire the vessel to see if we could open any potential branches and none were visualized. We contemplated placing a lead anyway, but the vessel was so tiny in LAO not even crossing the spine. We then decided to abort the procedure. The pocket was flushed with antibiotic-containing solution, and the old DDD generator (see data below) was connected to the leads, and the leads and generator were inserted into the pocket."

Do we report code 33225 with modifier -74 and 33249 with modifier -74 since the procedure was aborted due to small atretic coronary sinus and no LV lead could be placed? Please advise.

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