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Unsuccessful PPM BIV

Date: Oct 4, 2023

Question:

Patient presented for biventricular pacemaker. RV lead was placed in the RV apex. Multiple attempts made to place a lead in the CS, but continued to dislodge. A left bundle lead was placed in the RV septum and leads connected to the pacemaker generator. Would you code this as 33207 or 33207 and 33225-74?

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