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Pacemaker Set Screw Tightened

Date: Jul 1, 2014

Question:

Our EP physician brought the patient in for what he thought was a dislodged or malfunctioning pacemaker lead. Once the pocket was opened and the leads were detached from the pacemaker and examined, it was determined that they were fine. There was a set screw that was loose, and this was tightened down. Leads were attached to the same pacemaker and pocket closed. Our EP lab manager has only seen this a few times. What can I code for this, if anything? If fluoroscopy was used, can this be charged? Any suggestions would be most beneficial.

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