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Dual Chamber Left Bundle Pacemaker Implant
Question:
Would this be reported with code 33208 or 33206?
"Under fluoroscopy, a pacemaker lead was introduced in the right ventricle. Using a steerable sheath, the left bundle area was targeted. The QRS was 63 msec pre implant and 53 post implant. After adequate numbers were confirmed, the lead was screwed out. The lead was tied down with 0-silk x 2, and a tug test was performed. Using a similar method the RA lead was placed in the right atrial appendage. The leads were attached to the pulse generator, and another tug test was performed. Adequate numbers were again confirmed. Atrial lead and ventricular lead sensing were noted."
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