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Wiki Pacemaker lead repositioning

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vhersey2003

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I wonder if someone could give their opinion on how to code this scenario.

This patient had an atrial lead dislodgement that was reimplanted and I coded that with 33215. He also had replacement of a right ventricular lead so I used 33216. He stated he removed the pacemaker and then reinserted it at the end. Do I need to code for that also or just the repositioning and the new lead.
 
Lead Repositioning

I think simply removing the generator & placing it back in the pocket is included in 33215. However, I would have coded for the removal of the lead that was replaced, unless it was capped.
 
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