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RA and septal RA lead location

Date: Feb 25, 2022

Question:

The cardiologist indicates that he placed a lead in the RA and the LB for Afib and bradycardia, which I would coded as 33208. But his report says, "Boston Scientific dual chamber pacemaker that is MRI-conditional was placed. Excellent RA and LB pacing lead parameters. Large RA and septal RA lead location obtained. Patient tolerated the procedure well."

So, I'm not clear on what he is telling me. Are both leads in the atrium? Or, is he saying the RA is just large? He does indicate he has LB pacing parameters. Can I assume that the 33208 is the appropriate code?

Question ID : 16600
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