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Dual to Biventricular, Unsuccessful Placement of the LV Lead

Date: May 7, 2013

Question:

The patient presented with a dual chamber defibrillator and a planned upgrade to a biventricular ICD. The right ventricular lead was replaced, with the existing right ventricular lead removed. The atrial lead was existing and attached to the new generator. The left ventricular lead was inserted, but was unable to be advanced through the CS OS and was eventually removed and the LV port capped. Would this be reported with code 33249?  Or with codes 33263, 33216, and 33244?

Question ID : 4810
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