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Indication for procedure was need for ICD generator replacement. Also, fluoroscopy was performed of the right ventricular lead because of its recall status. Fluoroscopy revealed externalization of the right ventricular cable. For this reason, a left arm venogram was performed that demonstrated patency of the left arm veins. Through the axillary vein, a wire and sheath were advanced. Right ventricular lead was advanced through the right ventricular septum and fixed in place. Old right ventricular lead was capped and a new generator placed after recreating the pocket in a better position. Codes 33263 and 33216 as well as 36005 were charged by the Cath Lab. I agreed initially with codes 33263 and 33216 until I saw a similar Q&A from last year that advised different codes but appear to need more clarification. Please advise. Also, would code 36005 be allowed separately with a -59 modifier?