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Device Pocket Revision

Date: Mar 19, 2015

Question:

How would a pacemaker pocket revision be coded when the pocket is not relocated? Since code 33222 is now only for relocation of the pocket, I am not sure how this should be coded. "The patient had a pocket revision due to painful movement of the pacemaker within the pocket. The device was removed from the capsule, and the capsule was enlarged laterally and superiorly. A Parsonnet pouch was placed over the device and excess leads. The device within the pouch was placed back in the pocket and fixed at 5 points to the underlying pectoral muscle a few centimeters lateral and superior to the original position."

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