CS Venoplasty with failed Bi-V uprgrade

June 2, 2017

Question:

During an attempted upgrade to an existing dual chamber ICD, the CS was accessed, and the LV lead was inserted, but our EP physician could not get it past a very tight stenosis. One of our interventional cardiologists scrubbed in and performed multiple venoplasties on the very tight CS lesion. The LV lead was reinserted and advanced, but still could not pass the stenosis. The attempt was aborted. My thought is to bill code 33224-74. I normally would not bill for the venoplasty, as it would be included in the lead placement, but since the lead attempt was aborted, would it be appropriate to bill it in this case?

Question ID: 8943
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