What is a pulse generator

Assignment Help Science

Reference no: EM133855445

Assignment:

Please answer the case below,

Preop Dx: Implanted permanent pacemaker with pacemaker site erosion

Postop Dx: Same

Procedure: Relocation of pacemaker site with re-implantation of the pulse generator into the pectoralis muscle

Anesthesia: Local

Procedure Description:

The patient was brought to the Cardiac Catheterization Lab in the fasting state. She was prepped and draped for a left infraclavicular approach. Lidocaine anesthesia was administered. A skin incision was performed. Using meticulous dissection, muliple indwelling leads were dissected away and the pulse generator was extracted. This was an Intermedic Nova, model 282-04, serial #355543, bipolar ventricular pacer. Deep dissection was performed and the pulse generator was placed in a new pocket in the pectoralis muscle below the current pocket. The lead and pacemaker were carefully sutured down. Interrupted 3-0 Dexon was utilized to close the area in order to achieve maximum tissue coverage of the multiple leads. There were no complications. The patient left the lab in good condition.

Were the pacemaker leads replaced during this procedure?
What is a "pulse generator"?
Was the pulse generator replaced?
What CPT surgical section code(s) would you assign?
How did you index this code in CPT index (what terms did you use)?

Reference no: EM133855445

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