Results 1 to 1 of 1

Thread: Laser extraction of AICD leads

  1. #1

    Default Laser extraction of AICD leads

    Promo: Code Books
    Hi I did not find any code in the CPT book for laser extraction of ICD leads.

    Just see the below procedure how the physician performed it.

    OPERATION
    1. Automatic implantable cardioverter defibrillator pulse generator removal.
    2. Transvenous laser extraction of dual pacemaker lead system.
    3. Transvenous laser extraction of right ventricular pacemaker defibrillator
    lead.
    COMPLICATIONS: None.
    PROCEDURE: After obtaining informed consent, the patient was brought to the operating room in a fasted nonsedated state. The left prepectoral chest was sterilely prepped and draped, and infiltrated with 1% Xylocaine using total of 10 mL. There was a large defect there from the infection. A transverse incision was made superior to the defect. Blunt dissection carried out to the prepectoral AICD pocket and the AICD was explanted. The pocket was widely debrided. The right atrial and left ventricular pacemaker leads were then sequentially lasered out using a #14 laser. Right ventricular pacemaker defibrillator lead was then laser extracted using a #16 laser. At the conclusion of the procedure, the pocket was vigorously irrigated and closed in 2 layers.

    The fascial layer closed using running stitch of 3-0 Vicryl, subcuticular layer
    closed using mattress stitch of 4-0 Vicryl. Sterile dressing was placed. All
    sponge and needle counts were correct.

    In my opinion;

    33241 and 33244 are the codes for the above service any other opinion really appreciated
    Last edited by vikas.maheshwari; 11-03-2009 at 09:20 AM.
    Vikas Maheshwari
    Operation Manager (Medical Billing & Coding)
    MBA-HCS, CPC-H

Similar Threads

  1. Laser litho with basket extraction
    By hnybee101 in forum Urology
    Replies: 1
    Last Post: 03-27-2014, 02:20 PM
  2. Aicd
    By Goyard71 in forum Cardiology
    Replies: 1
    Last Post: 08-23-2013, 09:05 PM
  3. examination of an AICD
    By alices in forum Cardiology
    Replies: 1
    Last Post: 03-24-2012, 06:39 AM
  4. Removal of AICD epicardial leads
    By Schwartz in forum Cardiovascular Thoracic
    Replies: 2
    Last Post: 12-13-2011, 08:29 PM
  5. Replies: 1
    Last Post: 02-18-2009, 10:09 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.