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Unsuccessful implant of Leadless PPM w/transvenous PPM

Date: Aug 31, 2022

Question:

One of our physicians attempted to implant a leadless PPM with resultant cardiac perforation/tamponade. Leadless PPM was removed. Pericardial drain was placed (33017). After patient was stable, a tranvenous PPM with dual leads was placed (33208).

Would it be appropriate to code for the removal of the leadless PPM 33275 or insert of the device 33274 with modifier -74? Here are the codes I was thinking: 33275, 33017, 33208.

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