Charging for two separate leads for implantation of a biventricular permanent pacemaker (PPM)

Q.

Today we are implanting a biventricular pacemaker (PPM). We attempted a Coronary Sinus (CS) lead, however it would not work and they had to use a different CS lead. Is the patient charged for both leads?

A.

 If you are billing for the hospital where this was done, then yes, you can report the appropriate C code twice for the supply of the lead.