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Unsuccessful attempt to place left ventricular ICD lead
Date: May 21, 2012
Question:
Dr. Z, This patient was coming in for a dual chamber ICD generator replacement with a CS lead insertion. ( 33249 and 33225 ) The pocket was opened and the genertor was removed and detached from the endocardial leads. The pt. was paced off the R vent lead during the procedure. By use of a pertutaneous dilator and introducer a 7 french coronary sinus guiding cath was introduced and advanced to the R atrium. After several attepmts and several guiding caths used cannulation of the coronary sinus was unsuccessful. The generator was reattached to the leads and replaced in the pocket. Medical records coded 33249 and 33225. Is this correct? All that was done was removal and re-insertion of generator. Thank you, Kim H.
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