cpt codes Placement of a dual-chamberpacemaker.

timer Asked: Dec 2nd, 2014

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1.  Placement of a dual-chamberpacemaker.

Using a standard technique, the left infraclavicular subcutaneous pacemaker pocket was createdwith sharp and blunt dissection. The 2 j-tipped guidewires were advanced through a left subclavian veinusing standard left subclavian venotomy under fluoroscopic guidance. The peel-away sheaths andintroducers were advanced over the guidewires, and the guidewires were removed. The pacemaker leadswere advanced under fluoroscopic and electrophysiologic guidance into the right ventricular apex andright atrial appendage. The pacemaker leads were seen to function adequately in vivo and were suturedin

place with 0 silk. The leads were connected to the pulse generator, which was delivered into the woundin the usual fashion; 2-0 Vicryl suture was used to close the deep tissue layer and a 4-0 runningsubcuticular suture was used to close the skin. There were no complications of theprocedure.


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