Ask Dr. Z

After prep bilaterally, sharp & blunt dissection w/incision carried down to pectoralis fascia on LT side PG pocket site. Chronic LT ventricular & atrial leads uncapped & tested, adequate pacing/sensing confirmed w/ventricular lead & sensing in the atrial lead. 10 volts applied w/no observed diaphragmatic stimulation in the ventricular lead. Copious abx solution used to irrigate LT side pocket. Boston Scientific Model K173 device was connected to chronic leads & sewn into pocket, lead placements again verified, pocket closed. Using a combo of sharp & blunt dissection, incision carried down to level of pectoralis fascia on RT side PG pocket site. Existing RT side PM model K1783 removed from leads. Existing ventricular lead unable to be extracted due to fibrosis, left in place in RV, capped. Existing atrial lead extracted. RT side pocket debrided, irrigated w/abx solution, pocket closed w/deep & subcu Vicryl & Dermabond. Pt tolerated px well, returned to floor in stable condition. Would you would report this with 33222-59, 33228, 33234?