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Attempted ICD Lead removal with placement of new lead

Date: Dec 27, 2022


Patient had an ICD lead fracture. The surgeon attempted to remove the RV lead, but when they "turned the stylet in a counterclock fashion in order to retract the active fixation screw of the ICD lead. The screw was retracting; however, it did not retract entirely. The lead was noted to be lodged well into the myocardium and could not be released with gentle traction." They then capped the lead and decided to implant a new RV lead. Would this be coded as 33216 and 33244-52 since there was an attempt to remove the lead initially?

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