question 8\n2 pts\npreoperative diagnosis: heart block\npostoperative diagnosis: heart block\nanesthesia…

question 8\n2 pts\npreoperative diagnosis: heart block\npostoperative diagnosis: heart block\nanesthesia: local anesthesia\nname of procedure: reimplantation of dual chamber pacemaker\ndescription: the chest was prepped with betadine and draped in the usual sterile fashion. local anesthesia was obtained by infiltration of 1% xylocaine. a subfascial incision was made about 2.5 cm below the clavicle, and the old pulse generator was removed. using the seldinger technique, the subclavian vein was cannulated and through this, the old atrial lead was removed, and a new atrial lead (serial # 6662458) was placed in the right atrium and to the atrial septum. thresholds were obtained as follows: the p - wave was 1.4 millivolts, atrial threshold was 1.6 millivolts with a resultant current of 3.5 ma and resistance of 467 ohms.\nusing a second subclavian stick in the seldinger technique, the old ventricular lead was removed and a new ventricular lead (serial # 52236984) was inserted and placed into the right ventricular apex. the thresholds were obtained and were as follows: r - wave was 23.5 millivolts. the patient was pacing at 100% at 0.5 volts, with resultant current of 0.8 ma and resistance of 480 ohms. when we were satisfied with the thresholds, the leads were connected to the pacemaker generator (serial # 22561587), which was inserted into the previously created pocket.\nthe wound was thoroughly irrigated with antibiotic solution and hemostasis was obtained. the incision was closed in layered fashion with 2 - 0 dexon. a compressive dressing was applied, and the patient tolerated the procedure very well. he was taken to the recovery room in satisfactory condition. what cpt codes are reported?

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