Ask Dr. Z

What should I charge for when the MD places a CS lead in a single PPM?

"The MD attempted to place a PPM lead (C1898), but given severely dilated RA and suspected scar, several different sites within the RA were assessed for adequate sensing of the p waves. No p waves were sensed. Therefore, the RA lead and sheath were removed. A Medtronic LV lead was placed in a posterior lateral vein of the left ventricle, adequate pacing was confirmed, the sheath was peeled away, and the lead was sewn into position with 2-0 silk pop-off suture. The Medtronic device was then connected to the lead with adequate connections of all the one lead to the generator was confirmed. Appropriate sensing, pacing impedance, and pacing thresholds were tested and verified through the device."