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Unsuccessful LV lead insertion

Date: Aug 22, 2022

Question:

We are going back and forth on a case, and I'm hoping you can help.

"Patient has an existing single lead pacemaker with RA lead and comes in with a plan to add RV and LV leads and upgrade the generator to an ICD biventricular. They removed the old generator and added the RV lead easily, but after multiple attempts they could not get the LV lead to engage. They ended up removing the attempted LV lead and just hooking the RA and RV leads to the new ICD generator. The plan is to address the LV at a future date."

Would you report 33225-74 with codes 33249 and 33233, or just leave it off since the LV lead was not placed in the end?

Question ID : 17641
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