Ask Dr. Z

Patient arrived for AICD laser lead extraction with distal embolic protection, revision of pacemaker to AAI pacemeaker. Sentinel device was advanced through the radial approach to the ascending arch and under fluoroscopy. The proximal basket was deployed in the innominate artery. The distal basket was deployed successfully in the left carotid artery. Prowater wire was used for the advancement and monitoring. Device was secured. After the completion of the lead extraction, we were called into the Cath lab. Device position was documented by fluoroscopy, baskets were retrieved per protocol over a wire. Device was retrieved through the right radial sheath appropriately with no complication. The parentheticals for 33370 say to use with a TAVR code. What about when done during another procedure like this one? Unlisted 33999?