Ask Dr. Z

I'm unsure whether to report unlisted cardiology procedure code 33999, skin tissue procedure code 17999, or pocket revision (as the doc is calling it) code 33222. He did remove the generator, place an antibiotic sleeve on it, and place it back into the pocket. "Procedure: Patient came into the pacemaker clinic with some drainage from her previously placed ICD site. After local anesthesia, the pocket was opened. The pocket was lavaged. There was no active bleeding. There was no obvious purulence. Cultures have been obtained in the clinic and were not done during this setting. The pacemaker was placed into an antibiotic sleeve and placed back into the pocket which was closed in layers. Sterile dressing was applied. Conclusions: ICD pocket revision for draining hematoma."