Epicardial Leads

June 12, 2017

Question:

I am unable to find anything. For unlisted codes my organization requires a code to compare price to. "INDICATIONS FOR PROCEDURE: Pocket erosion with ICD exposed and infected. The epicardial leads were placed in 2004. FINDINGS AT THE TIME OF SURGERY: No evidence for infection at entry site into chest cavity of epicardial leads. They were divided as the entered the chest cavity to avoid performing thoracotomy and risk of unscrewing leads off the surface of the heart. DESCRIPTION OF PROCEDURE: After successful induction of GETA, sterile prep and drape was performed. She was already on antibiotics. A small incision was made superficially in the area of the previous mini-thoractomy back in 2004. The two epicardial wires were easily identified. No fluid or purulence was noted. Under gentle tension, each wire was cut as proximal to the heart as possible and allowed to retract back into the chest cavity. EP physician will pull out the wires from the pocket. A 2-0 Vicryl, 3-0 vicryl and 4-0 Vicryl were used for closure."

Question ID: 9439
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