Question

1. A single physician inserts both a permanent pacemaker pulse generator and epicardial electrodes in the right atrium and right ventricle by thoracotomy (during the same surgical session). How should this service be reported? 2. A physician replaces a two year-old permanent pacemaker system consisting of a pulse generator and a single transvenous electrode placed in the right atrium (both the pulse generator and electrode were replaced). The new electrode is placed back into the right atrium transvenously. The procedure required revision of the skin pocket to hold the pulse generator and insertion of the new pulse generator. How should these services be reported? 3. Four months after the insertion of a permanent pacemaker and the placement of an electrode in the right ventricle, the same physician repositions the electrode transvenously. How should this repositioning be reported? 4. A physician inserts a permanent pacemaker pulse generator and an electrode in the right ventricle transvenously. During the same session, the physician also places a transvenous electrode in the left ventricle. How should these services be reported? 5. A physician changes the battery for a single chamber permanent pacemaker pulse generator inserted one year- ago and repairs and reconnects) the existing transvenous lead. How should these services be reported? 6. Immediately prior to performing a single coronary artery bypass graft procedure, the same physician harvested a vein from the left arm to be used for the graft. What add-on, if any, would be reported for the harvesting of the vein? 7. A physician performed a coronary artery bypass graft procedure involving two grafts - a venous graft to the right coronary artery and a separate venous graft to the left anterior descending artery. How should these services be reported?

Answer 1

Answer 1-Single-chamber pacemaker

Answer 2-Single-chamber pacemaker

Answer 3-Dual-chamber pacemaker

Answer 4-Biventricular pacemaker