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Replace old DC PM, new PM insert and Removal, insert of 2nd new PM.

Date: May 9, 2022

Question:

The physician removed the old DC ERI PM with difficulty from scar tissue and heavy calcification and replaced it with a new DC PM, which was then removed due to thick, heavy calcification of the atrial lead and the pocket. A smaller second new DC PM was then implanted. A pocket revision was done after old generator was removed and moved from an anterior posterior position in the pocket to superior lateral position, same pocket. How would you code this procedure, and can we bill for pocket revision?

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