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ICD generator exchange with lead movement subcutaneously (33263)

Date: Feb 1, 2012

Question:

Good morning DrZ...I was wondering if you could help with this case. Procedure Performed: 1)Explant of a BiV ICD, 2)Tunneling of the right ventricular ICD and a left ventricular paciong lead from the left subclavian to right subclavian 3)Placement of a new biventricular cardioverter defibrillator. I coded it, 33241, 33215, 33226, 33240. However, 33226 includes removal and insertion and moving the pacer to the right was more work then just repositioning LV lead. Can you help me? Thanks, Melissa
Question ID : 3253
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