Placement of a Dual-Chamber Pacemaker

question 44

Short Answer

Placement of a dual-chamber pacemaker.
Using a standard technique, the left infraclavicular subcutaneous pacemaker pocket was created with sharp and blunt dissection. The 2 j-tipped guidewires were advanced through a left subclavian vein using standard left subclavian venotomy under fluoroscopic guidance. The peel-away sheaths and introducers were advanced over the guidewires, and the guidewires were removed. The pacemaker leads were advanced under fluoroscopic guidance into the right ventricular apex and right atrial appendage. The pacemaker leads were seen to function adequately in vivo and were sutured in place with 0 silk. The leads were connected to the pulse generator, which was delivered into the wound in the usual fashion; 2-0 Vicryl suture was used to close the deep tissue layer and a 4-0 running subcuticular suture was used to close the skin. There were no complications of the procedure. Code the pacemaker placement only.
CPT Code: ____________________

---

Definitions:

Financial Reporting

Developing communications that display an organization’s monetary status to those in charge, investors, and the government.

Direct Manufacturing Cost

Costs directly associated with the production of goods, including raw materials and labor.

Relevant Range

The range of activity within which assumptions about the behavior of costs are valid.

Direct Costs

Costs that can be directly attributing to the production of specific goods or services, such as raw materials and labor.