Ask Dr. Z

"A lead was advanced to the sheath to the right ventricular septum. A His and left bundle potential was identified throughout the procedure. Pacing along these areas did temporarily show a narrow complex QRS. Unfortunately is growing into these areas with the lead did not provide adequate stabilization of the lead. Numerous areas all along the septum were attempted for adequate lead stabilization and unfortunately a position was not able to be identified. After numerous failed attempts of placing the lead in a stable position where it would cause a narrow QRS complex the procedure was aborted. A biventricular device was attached to the existing leads. The left ventricular port was capped. The pocket was flushed and the device was then placed into the pocket. It was closed in a three-layer technique and the dermal layer was sealed with dermal adhesive. The patient was sent to the post procedure care unit in stable condition. (Leads in RA and RV)"

Would this case be reported with code 33264? Or with 33249-74 and 33241?