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CRTD Generator Replacement

Date: Dec 3, 2023

Question:

I have a portion of the surgery documentation below, and am wondering, based on what I have provided, if this would be CPT 33264?

PROCEDURE: CRTD generator replacement. CRTD interrogation and programming.

After local lidocaine infiltration, a 4 cm incision was made along the left deltopectoral groove. The subcutaneous pocket was opened with blunt dissection, and local hemostasis was obtained with cauterization. The CRTD generator and the leads were extracted from the pocket. The leads were disconnected from the generator. The underlying rhythm is AF. Sensing P wave 1.5 mV, impedance 400ohms. Sensing R wave wave 14.5 mV, pacing threshold 0.75 V and 0.4 ms, impedance 360ohms. LV epicardial lead pacing threshold 1.5 V and 0.4 ms, impedance 265 ohms.

A new CRTD generator was connected to the leads and into the pocket after antibiotic irrigation. An antibiotic envelope was used for prophylaxis. The wound was closed. Pacemaker interrogation showed stable RA, RV and epicardial LV lead measurements.

Question ID : 19720
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