S Smith
New
I was wondering if anyone has physicians that have been implanting LBB leads? Our physicians have been inserting LBB leads now instead of the usual RV lead. The lead goes through the septum from the right side and is screwed into the left bundle area. They use it for LV pacing. However, while discussing the code with the physician he pointed out that while they are using it for LV pacing, it is not going into the cardiac venous system which the code 33225 states. While I believe when only an atrial lead and a LBB lead is inserted we would use the dual chamber code 33208. When they are inserting three (atrial, Right ventricle and LBB) leads, I was wondering if it would be appropriate to code 33999 for the LBB lead?