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Wiki attempted CS lead

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christinerw27@gmail.com

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how do i code a RV PPM upgrade to a BIV (just the addition of a CS lead,... no RA lead being added); that was aborted due to anatomy?

the 33225 is an add on, so i can't just bill that and modify as aborted.

thanks in advance
 
33224

If biventricular pacing is required, an additional electrode is placed in the left ventricle. With the pacemaker or implantable defibrillator already in place, the physician gains access transvenously through the subclavian or jugular vein. This procedure is done under local anesthesia. A fluoroscope may be used for guidance and a pacing electrode is inserted in the left ventricular chamber of the heart, usually in the coronary sinus tributary. The electrode is connected to the pulse generator and the pocket is closed. The generator pocket may be revised and/or the existing generator removed, inserted, or replaced. In rare cases, when transvenous approach cannot be used, the device is implanted in the pocket underneath the skin in the lower abdomen (epicardial approach). Implantation using this approach is done under general anesthesia.
 
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