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Wiki Lead Revision after AICD Placement

AshleyMartin

Networker
Messages
43
Location
Marrero, LA
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Is this covered in the global surgical package or not? Here is the scenario:

A patient has an elective Dual Chamber AICD implant on 12/16/11, stays in 23 hour obs and is discharged the next day with no complications.

On 12/18/11 patient presents to the ED stating that she "felt funny like my body was twitching from the pacemaker". Her device was interrogated and there was right atrial lead dislodgment. She was admitted to the hospital as an inpatient. On 12/19/11, the physician who did the original AICD implant did an H&P on the patient and decided to do a lead revision that same day.

Lead revision was done 12/19/11 with no complications and the patient was discharged home on 12/20/11.

My question is, is any or all of this covered under the global surgical package from the AICD implant or is it seperately billable and payable using modifiers?

Thanks!
 
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