His lead Pacemaker

May 30, 2017

Question:

Our cath lab department is now inserting His leads when performing pacemaker insertion. "Operative note: Through this sheath, a 5 French His bundle catheter was placed in the bundle of His. The left pectoral region was prepped and draped in the standard fashion. The skin and periclavicular region were anesthetized with 1% lidocaine. An infraclavicular incision was made and carried down to the prepectoral fascia using electrocautery. Using blunt dissection and electrocautery, the generator pocket was created and hemostasis assured. Micropuncture needle was used for axillary vein access x 1. A 7 French safe sheath was placed. Via this sheath, a His bundle introducer sheath was placed in the right atrium. Using the His bundle lead, the His bundle was mapped. The lead was secured to the His bundle tissue, and pacing characteristics were reevaluated. Under fluoroscopic guidance, the guiding sheath and safe sheath were removed." Would we code this as 33206, or are these procedures reported with unlisted code 33999?

Question ID: 9399
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