If it is a new (initial) PM insert, look at 33208. That's your basic dual lead PM meaning 2 leads--an Atrial lead and a Ventricle lead..
If single lead, with only an Atrial lead OR a Ventricle lead, look at 33206 or 33207.
Regardless of which of the 3 is implanted, code (if documented) the fluoroscopy 71090-26
If it is a replacement or he puts in an extra lead, then its a whole other set of codes
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