Ask Dr. Z

I need your advice on this case I'm auditing. The procedure was left bundle pacing upgrade from DDD pacemaker. "The existing LV lead was removed, and multiple attempts were made to place an LV lead but not successful. At this point the procedure was converted to place a left bundle branch lead. The pacing lead was positioned and deployed in the midseptum. The lead was sutured in place, the pocket was flushed with antibiotic containing solution, and the new CRT-P was connected to the leads." There was new CRT-P implanted, RV His bundle implanted, old battery removed, CS lead removed, and leads reconnected RA and RV. Do we report codes 33207, 33225, and 33233? I don't believe 33225 needs to be coded since there is no LV lead implanted. Is this correct? Do we also code for the removal of CS lead?