PREOPERATIVE DIAGNOSIS: Pacemaker malfunction POSTOPERATIVE DIAGNOSIS: Same OPERATION…

PREOPERATIVE DIAGNOSIS: Pacemaker malfunction POSTOPERATIVE DIAGNOSIS: Same OPERATION PERFORMED: Replacement of pacemaker generator and electrode PROCEDURE: The patient was positioned on the fluoroscopy table and the right chest was prepared and draped. Local anesthesia was obtained with 1 percent lidocaine with epinephrine. The pocket was reopened and the generator removed. Analysis of the lead showed intermittent R waves obtained. At this point, it was elected to proceed with insertion of a new lead and generator. A Medtronic lead, model #4024-52, serial number KJH124391W, was placed into the apex of the right ventricle. The lead was sutured in place using 2-0 silk and connected to a Medtronic generator. This was a DVI single chamber pacer programmed at a rate of 70. Inspection was made to be certain that hemostasis was adequate. The old lead was capped and abandoned. The wound was closed using 3-0 Vicryl for subcutaneous tissue and 3-0 nylon for skin. Dry dressings were applied, and the patient was returned to PREOPERATIVE DIAGNOSIS: Pacemaker malfunction POSTOPERATIVE DIAGNOSIS: Same OPERATION PERFORMED: Replacement of pacemaker generator and electrode PROCEDURE: The patient was positioned on the fluoroscopy table and the right chest was prepared and draped. Local anesthesia was obtained with 1 percent lidocaine with epinephrine. The pocket was reopened and the generator removed. Analysis of the lead showed intermittent R waves obtained. At this point, it was elected to proceed with insertion of a new lead and generator. A Medtronic lead, model #4024-52, serial number KJH124391W, was placed into the apex of the right ventricle. The lead was sutured in place using 2-0 silk and connected to a Medtronic generator. This was a DVI single chamber pacer programmed at a rate of 70. Inspection was made to be certain that hemostasis was adequate. The old lead was capped and abandoned. The wound was closed using 3-0 Vicryl for subcutaneous tissue and 3-0 nylon for skin. Dry dressings were applied, and the patient was returned to the recovery room in satisfactory condition. Assign ICD-10-PCS code(s) to the following case study