Question

Leads implanted: Medtronic model 5076-45 in the right atrium, serial number PJN983322V. Medtronic 5076-52 in the right ventricle, serial number PJN961008V
Device Implanted: Pacemaker, Dual chamber, Medtronic EnRhythm, model P1501VR, serial number PNP422256H
Lead Performance: Atrial threshold less than 1.3 volts at 0.5 milliseconds. P wave 303 millivolts. Impedance 572 ohms. Right ventricle threshold 0.9 volts at 0.5 milliseconds. R wave 10.3. Impedance 855.
Procedure: The patient was brought to the electrophysiology laboratory in a fasting state. Intravenous sedation was revised sedation was proved as needed with versed and fentanyl. The left neck and chest were prepped and draped in the usual manor, and the skin and subcutaneous tissues below the left clavicle were infiltrated with 1% lidocaine for local anesthesia. A 2.5 inch incision was made below the left clavicle and electrocautery was used for hemostasis. Dissection was carried out to the level of the pectoral is fascia and extended causally to create a pocket for the ovule generator. The delta pectoral groove was explored and a medium sized cephalic vein was identified. The distal end of the vein was ligated and a venotomy was performed.
Two guide wires were advanced to the superior vena cava, and peel away introducer sheets were used to insert the two pacing leads. The venous pressures were elevated and there was a fair amount of back bleeding from the vein, so a 3-0 mono rye figure of eight stitch was placed around the tissue surrounding the vein fro hemostasis. The right ventricular lead was places in the high RV septum and the right atrial lead was paced in the right atrial appendage. The leads were tested with pacing systems analyzer and the results are noted above. The leads were then anchored in place with a #0- silk around their suture sleeve and connected to the pulse generator. The pacemaker was noted to function appropriately. The pocket was then irrigated with antibiotic solution and the pacemaker system was placed in the pocket. The incision was closed with two layer of 3-0 monocryl and a sub cuticular closure of 4-0 monocryl. The incision was dressed with steri-strips and a sterile bandage and the patient was returned to her room in good condition.
A. 33240,33225, 33202
B. 33208, 33225, 33202
C. 33213, 33217
D. 33208

Answer 1

Answer:

Based on the provided information, the correct answer is:

B. 33208, 33225, 33202

Explanation:

1. 33208: This code represents the insertion and placement of a dual-chamber pacemaker system.

2. 33225: This code represents the insertion of a transvenous electrode or pacemaker lead into the right atrium.

3. 33202: This code represents the insertion of a transvenous electrode or pacemaker lead into the right ventricle.

The given details mention the implantation of leads in the right atrium and right ventricle, as well as the implantation of a dual-chamber pacemaker device. The specific codes accurately describe these procedures.

It is important to note that CPT codes are used for medical billing and documentation purposes. These codes help healthcare professionals classify and track different procedures and services. The codes provided in option B align with the described procedures in the given information.