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Venoplasty of the Subclavian vein in conjunction with LV lead placement

Date: Mar 3, 2023

Question:

We have a scenario where the physician was trying to pass a wire to get the CS catheter through, and it was discovered that the patient has a total occlusion of the left subclavian vein. Physician performed venoplasty and said intervention allowed for easy passage of the CS guide catheter. Physician does document venous stenosis of the subclavian vein and the occlusion.

We stumbled upon an October 2022 CPT Assistant that is making it seem like we can report for the venoplasty. The CPT Assistant mentions a stenosis found during a "transcatheter electrophysiology procedure". Would our scenario qualify for reporting the venoplasty with the upgrade to a CRT-pacemaker? Thoughts?

Question ID : 18486
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