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Fluoroscopy with Lead Interrogation

Date: Jul 29, 2022

Question:

"A patient was scheduled for a lead reposition. Before the procedure started, interrogation showed that the atrial lead was dislodged. The lead was fluoro-ed and was shown to be in an adequate position, identical to the final fluoro when the patient originally had the pacemaker placed. Interrogation of the pacemaker was performed again, and lead sensing and pacing parameters were adjusted to obtain appropriate pacemaker function for the patient without physically adjusting the lead. Given the patient's advanced age and risk for hematoma, this was felt to be the safest option for the patient." 

In this instance, my facility coded 93280 for the interrogation and adjustment of the lead and pacemaker parameters, but we were wondering about coding fluoroscopy (76000) as well since the fluoro of the actual lead is what drove the outcome of the procedure. What would you have done here? 

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