Using Your Manual Question & Answer Guide (With Explanation)
This question tests key academic concepts commonly covered in coursework.
What This Question Is About
This question relates to using your manual and requires a structured academic response.
How to Approach This Question
Start by identifying the main issue, then apply relevant academic frameworks.
Key Explanation
This topic involves using your manual. A strong answer should include explanation, application, and examples.
Original Question
Using your CPT manual, code the following. (Separate multiple codes with a comma and then a space in your response. XXXXX, XXXXX. Make sure to include a dash in front of your modifier answers. XXXXX-XX) OPERATIVE REPORT PERMANENT PACEMAKER INSERTION PROCEDURE PERFORMED: Permanent pacemaker insertion. INDICATION: Symptomatic bradycardia. DESCRIPTION OF THE PROCEDURE: Informed consent was obtained. The patient was pre-medicated with intravenous Versed and Nubain. The left infraclavicular area was prepped and draped in the usual manner. The area was then anesthetized with 1% Lidocaine. The left subclavian vein was entered with an 18-gauge thin-walled needle. A guidewire was advanced through the needle. The needle was removed. A 1.5-inch incision was made down to the pectoralis fascia. Using blunt and sharp dissection a pocket was created. A 9-French sheath introducer set was advanced over the guidewire and the introducer was removed. A Medtronic ventricular lead was advanced to the right ventricle. In the final position, the measured R wave was 7.9 mV. The captured threshold was 0.7 volt and the lead impedance was 860 ohms. A 7-French sheath introducer set was advanced over the wire and the wire and the introducer were removed. A Medtronic atrial lead was advanced to the right atrium and in the final position the measured P wave was 6.2 mV. The captured threshold was 0.4 volt and the lead impedance was 639 ohms. Both leads were anchored in place using 0 silk that was sutured around the anchor and its lead. Both leads were then connected to a Medtronic pulse generator brand name Kappa DR, model #KDR901. The pulse generator and the leads were positioned inside the pocket after it was flushed with Neomycin. The subcutaneous tissue was closed with 3-0 Vicryl and the skin was closed with 4-0 Vicryl. The patient tolerated the procedure well and there were no complications. The device was programmed to DDDR, lower rate of 60, upper rate of 130. CPT Code: ____________________
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