Ask Dr. Z

Leadless pacemaker was placed in right atrium and right ventricle. Would this be reported with codes 33274 and 33999? Or only 33999?

"The introducer was advanced through the long sheath into the right ventricle where it was positioned at the apical septum. Contrast was used to confirm location and proximity to the myocardium. Once appropriate position and contact was noted, the leadless pacemaker was exposed and screwed into the walls. Next the atrial lead was pursued. The introducer was advanced through the long sheath into the right ventricle where it was positioned initially at the base of RAA but didn't have good numbers and eventually positioned at lateral RA wall. Contrast was used to confirm location and proximity to the RA wall. Once appropriate position and contact was noted, the leadless pacemaker was exposed and screwed into the walls."