Wiki ICD gen change with new lead

Dmfazio72

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Surgeon replaced bi-V ICD generator using existing leads. Then he removed faulty LV lead and was not able to secure a new LV lead. He opted for new RV septal lead to be placed in the left bundle position. Do I bill 33249, 33225-53, 33241, 33244 or 33264, 33225-53?
 
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