Old Pacemaker at the End of Life

question 48

Short Answer

Old pacemaker at the end of life. Replacement of pulse generator.
After local anesthetic had been infiltrated, an incision was made over the right upper chest where the pacemaker had been implanted. The old pulse generator was removed. The new pulse generator, a Guidant Discovery DR model #1275, serial #abcdefg was implanted.
The atrium sensing was 2 mV, threshold 1.4 V, impedance 500 MHz. In the ventricle our sensing was 7 mV, threshold 1.4 V, and impedance 5600 MHz. There was no VA conduction.
The new pulse generator was attached to the old leads. Left and DDD are lower rate 75, upper rate 120 beats per minute. "AV delay" 150 ms and mode switching is on. The wound was closed in layers.
CPT Code: ____________________

---

Definitions:

Self-sufficiency

The ability of an individual, community, or nation to provide for its own needs without relying on external assistance.

Generous Level

A term not typically used in a specific technical context but generally refers to an amount or degree of something that is ample or more than adequate.

Two-tier Welfare

A welfare system structured on two levels, where basic universal benefits are provided, and additional supports can be accessed based on specific eligibility criteria.

Assistance

Aid or support provided to individuals, groups, or countries in the form of financial resources, expertise, or other resources, aimed at achieving specific goals or relieving hardships.