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Subxiphoid approach lead extraction

Phyllis Posted Wed 02nd of October, 2013 13:39:02 PM

What CPT would you recommend for removal of epicardial and sensing defibrillating patches and leads through a subxiphoid incision?

Op report
"A subxiphoid incision was made. The leads were followed down to where they entered the pericardium, and the pericardium was opened. The anterior defibrillating patch was first removed, and then the posterior defibrillation patch was removed by careful dissection. The 2 sensing leads were cut down upon with some difficulty, screwed out of the heart and removed."

SuperCoder Answered Wed 02nd of October, 2013 23:35:14 PM

I would recommend using 33237 for this.Once general anesthesia takes effect, the physician opens the chest wall to expose the heart. He surgically removes the leads attached to the surface of the heart

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