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Aborted ICD RV lead revision

Date: Jan 2, 2023

Question:

I am stumped as what I should use for coding this attempt. Can you please advise? Patient has RV lead impedance, so they planned to do an ICD RV lead revision. Doesn't seem like he did enough to charge 33244-53, 33216-53.

"Using general anesthesia with endotrachael intubation, a right infraclavicular incision was made and the old generator was explanted. The right subclavian vein appears occluded. It was decided to leave the original system in because three years of battery is left. Finally, the subcutaneous pocket was sutured using 2-0 Vicryl and the skin was closed using 4-0 Vicryl. The patient tolerated the procedure well and no complications were encountered during this implantation."

Question ID : 18216
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