Patient presents for pacemaker implantation due to symptomatic bradycardia.  The patient's medical history includes [Specify underlying condition e.g., sick sinus syndrome, atrioventricular block, heart failure] documented by [Specify diagnostic tests e.g., electrocardiogram demonstrating sinus bradycardia with pauses, Mobitz type II second-degree AV block].  Symptoms reported include [Specify symptoms e.g., syncope, presyncopal episodes, dizziness, fatigue, shortness of breath].  Physical examination reveals [Specify relevant findings e.g., regular but slow heart rate, hypotension].  The risks and benefits of pacemaker implantation, including infection, bleeding, pneumothorax, lead dislodgement, and device malfunction, were discussed with the patient.  Informed consent was obtained.  The procedure was performed under [Specify anesthesia e.g., local anesthesia with conscious sedation] using fluoroscopic guidance.  A [Specify type e.g., dual-chamber] pacemaker was implanted via the [Specify approach e.g., left subclavian vein] and the leads were placed in the [Specify location e.g., right atrium and right ventricle].  Pacemaker parameters were programmed to [Specify settings e.g., DDD mode, lower rate limit of 60 bpm, upper rate limit of 120 bpm].  Post-implant electrocardiogram confirmed proper pacemaker function.  The incision site was closed with [Specify closure method e.g., absorbable sutures].  The patient tolerated the procedure well and was discharged in stable condition with instructions on wound care, activity restrictions, and follow-up appointments for device interrogation and optimization.  ICD-10 code: [Specify relevant ICD-10 code e.g., Z45.01, Z45.02].  CPT codes: [Specify relevant CPT codes e.g., 33206, 33207, 33208].