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33227 or 33228

Date: Aug 30, 2023

Question:

Patient has a dual chamber PM for 3rd degree AVB at end of life. The physician noted that the atrial lead has become dislodged and is tested and not found to be sensing. The ventricular lead is functioning without issue. The physician and patient discussed and agreed to leave the dislodged lead in place, and it is attached to the new dual chamber generator along with the ventricular lead. Would this encounter be reported with 33228 since both leads are connected to the PM or 33227 since only one lead is actually functioning?

Question ID : 19367
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