Physician list this in PROCEDURES
Implantation of a left ventricular lead
Implantation of a new RV lead due to RIATA 7000 lead failure
Implantation of an azygous coil due to high DFT
After detailing a standard upgrade of bi-vi ICD he went to speak about the coil implant.
In the body of the dictation it says this about coil, LV and RV leads.
...This determined that the DFT was >30J with the lead configuration in place we decided then to place an azygous coil.
The pocket was then reopened, and the RV lead was unsutured and removed. Two separate accesses were again done with confirmation of guide wires in the inferior vena cava. The single coil bifurcation lead was then placed into the RV apical septum. The lead had excellent characteristics, therefore the lead was sutured to the floor of the pocket. Through the second wire we placed a long sheath-and found the mouth of the azygous vein using a JR-4 catheter. We injected dye into the azygous vein confirming the location. Then the coronary sinus guiding sheath was placed into the azygous vein. Through this sheath, the transvene lead was placed. There was an excellent posterior position of the lead. We then connected all the leads sequentially to the device, reflushed the pocket , and placed the system in the pocket.
My question is would i code anything other than 33249, 33241, 33225 and 93641?????
Implantation of a left ventricular lead
Implantation of a new RV lead due to RIATA 7000 lead failure
Implantation of an azygous coil due to high DFT
After detailing a standard upgrade of bi-vi ICD he went to speak about the coil implant.
In the body of the dictation it says this about coil, LV and RV leads.
...This determined that the DFT was >30J with the lead configuration in place we decided then to place an azygous coil.
The pocket was then reopened, and the RV lead was unsutured and removed. Two separate accesses were again done with confirmation of guide wires in the inferior vena cava. The single coil bifurcation lead was then placed into the RV apical septum. The lead had excellent characteristics, therefore the lead was sutured to the floor of the pocket. Through the second wire we placed a long sheath-and found the mouth of the azygous vein using a JR-4 catheter. We injected dye into the azygous vein confirming the location. Then the coronary sinus guiding sheath was placed into the azygous vein. Through this sheath, the transvene lead was placed. There was an excellent posterior position of the lead. We then connected all the leads sequentially to the device, reflushed the pocket , and placed the system in the pocket.
My question is would i code anything other than 33249, 33241, 33225 and 93641?????
Bi-vi upgrade with Azygous vein coil implant
Aucun commentaire:
Enregistrer un commentaire