PREOPERATIVE DIAGNOSES: 1. Dilated cardiomyopathy with ejection fraction of 30% 2. Recurrent congestive heart failure PO

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PREOPERATIVE DIAGNOSES: 1. Dilated cardiomyopathy with ejection
fraction of 30% 2. Recurrent congestive heart failure POSTOPERATIVE
DIAGNOSES:
1. Dilated cardiomyopathy with ejection fraction of 30%
2. Recurrent congestive heart failure
PROCEDURES PERFORMED:
1. Dual-chamber automatic implantable cardioverter defibrillator
implantation.
2. Loop recorder removal
PROCEDURE: After an extensive discussion with the patient and
her daughter, risks and benefits were explained and an informed
consent was obtained. She was brought to the surgery center for the
above procedure. She was prepped and draped in the usual sterile
fashion. Intravenous venography was performed to visualize the left
subclavian vein. Local anesthesia was administered in the left
infraclavicular area. After appropriate anesthesia, an incision was
made and pocket was fashioned using sharp and blunt dissections.
After adequate hemostasis, an access was obtained in the left
subclavian vein via Seldinger technique and as a precaution a
J-wire was placed. A short 6-French sheath was deployed. 3 SN Multi
Test #1 Another wire was placed and the wire was retained over the
first J-wire, a short 8-French sheath was deployed. Through this, a
ventricular lead was advanced and was positioned in the RV apex.
After appropriate thresholds and parameters checked, the lead was
sutured in place. Over the second J-wire, a short 6-French sheath
was deployed. Through this, atrial lead was advanced and positioned
to the right atrial appendage. After appropriate thresholds and
parameters checked, the lead was sutured in place. The pocket was
irrigated with an antibiotic solution. The device was attached and
sutured using 2-0 silk suture. The pocket was closed using 2-0 and
3-0 Vicryl sutures. The patient tolerated the procedure well
without any complications.
LOOP RECORDER REMOVAL: Local anesthesia was administered at the
medial aspect for the loop recorder in the parasternal space. An
incision was made and the loop recorder was removed after the
capsule was incised. The incision was closed using 2-0 silk suture.
The patient tolerated the procedure well without any
complications.
DEVICE DETAILS: See the attached sheet. The device was
manufactured by St. Jude Medical Model LXDR2411-36Q. Atrial lead
was manufactured by St. Jude Medical Model Tendril STS2088TC4/46.
The ventricular lead was manufactured by St. Jude Medical Model
Durata 7122Q4/58 cm. The explanted device was inserted with cardiac
monitoring as DM3500. Whats the CPT, ICD, HCPCS Codes