Patricia L Diaz
Guest
Please help me out w/this scenerio...
This is a 90yr old female was admitted in February 2009 with complete heart block and had a temporary and then subsequently permanent pacemaker implantation done. She did well until April 7,2009 when whe was found to have intermittent loss of pacemaker capture and required a temporary pacemaker because she was completely pacemaker dependent. Without the pacemaker she had no heartbeat. After temporary pacemaker implantation her permanent pacemaker lead was repositioned and a good position was obtained. she was pacing and sensing normally and had a good threshold, but then she started to have episode of cough and her pacemaker lead again moved slightly and she again started to have intermittent loss of capture and, in spite of changing threshold and pacing voltage, she was not able to have normal pacing. Because of this and her being completely dependent upon the pacemaker, she had to have the procedure repeated again under local anesthesia because the patient was very restless and it was impossible to do it without anesthesia. As she was totally dependent upon the pacemaker, it was unsafe to move the permanent pacemaker lead without the risk of cardiac arrest if she did not have the support of a temporary pacemaker. So she had to have another temporary pacemaker implant done and had successfully reposition of the lead to a different location and she was pacing and sensing normally and had no further loss of capture or sensing during her hospitalization. Because of her advanced age and thin myocardium she had this problem.
ok...initially I reported...
33210 (paid) 33210/76 (not paid)
33215 (not paid) 33215/76 (paid)
71090 (paid) 71090/76 (not paid)
so...how do I get proc not paid to be paid...Am I doing something wrong?? or leaving something out?? This is the first time that I have had to file this type of claim...Please help...
This is a 90yr old female was admitted in February 2009 with complete heart block and had a temporary and then subsequently permanent pacemaker implantation done. She did well until April 7,2009 when whe was found to have intermittent loss of pacemaker capture and required a temporary pacemaker because she was completely pacemaker dependent. Without the pacemaker she had no heartbeat. After temporary pacemaker implantation her permanent pacemaker lead was repositioned and a good position was obtained. she was pacing and sensing normally and had a good threshold, but then she started to have episode of cough and her pacemaker lead again moved slightly and she again started to have intermittent loss of capture and, in spite of changing threshold and pacing voltage, she was not able to have normal pacing. Because of this and her being completely dependent upon the pacemaker, she had to have the procedure repeated again under local anesthesia because the patient was very restless and it was impossible to do it without anesthesia. As she was totally dependent upon the pacemaker, it was unsafe to move the permanent pacemaker lead without the risk of cardiac arrest if she did not have the support of a temporary pacemaker. So she had to have another temporary pacemaker implant done and had successfully reposition of the lead to a different location and she was pacing and sensing normally and had no further loss of capture or sensing during her hospitalization. Because of her advanced age and thin myocardium she had this problem.
ok...initially I reported...
33210 (paid) 33210/76 (not paid)
33215 (not paid) 33215/76 (paid)
71090 (paid) 71090/76 (not paid)
so...how do I get proc not paid to be paid...Am I doing something wrong?? or leaving something out?? This is the first time that I have had to file this type of claim...Please help...
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