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Multiple generator changes prior to generator implantation.
Question:
"Patient had dc pacemaker generator and electrodes removed due to infection. Patient had a temp perm lead placed via the external jugular to the RA and the chronic generator was connected as the external pacemaker. Approx. a month later, the temp perm lead via the jugular was pulled and replaced with a new temp ra lead via the LSVC and the externalized chronic generator was swapped with a new generator but that generator was not implanted. Finally a few weeks later the most recent generator was swapped again for a new dc generator and implanted with new RA and RV leads, with the LSVC lead removed. All were done by the same provider."
1st procedure: 33216, 33233, 33235?
2nd procedure: 33216 and 33234 (not certain how to bill the generator as it wasn't implanted)
3rd procedure: 33234 and 33208? Since the second generator was never implanted and replaced with the third I figured single system lead removal and new generator implant, or is there a way to incorporate the original generator change out with this procedure?
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