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Redudant Lead Sutured to ICD Pocket Floor

Date: Sep 18, 2014

Question:

"Patient was brought into the electrophysiology laboratory in the fasting, non-sedated state. The patient was prepped and draped in the usual sterile fashion. 1 percent lidocaine was used for local anesthetic. An incision was made in the left infraclavicular region. The tissues were dissected down to the level of the ICD pocket. A redundant lead was extending just beyond the device with stretched skin and impending erosion. That lead was dissected free and turned into the pocket. The lead was sewn to the pocket floor with 0 silk. The pocket was irrigated with a combination antibiotic solution." We know this was not a pocket revision or move. How would this be coded?

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