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Atrial Flutter

Date: Jan 15, 2018

Question:

Would the following be coded as an unlisted procedure? "Patient scheduled for atrial flutter ablation. Patient presented to EP lab in AFL. Due to patient comorbidity, (coincident AF, recent Watchman implant) physician decided (prior to procedure) he would not pursue AFL ablation if circuit was left-sided. J-wire was advanced to IVC. Repeat access, repeat to 1 cm above the last, and 3rd access to 1 cm above, and J-wire advanced to level of right atrium. Sheath was introduced. SRO sheath was advanced into right atrium. Halo cath was advanced and draped across the tricuspid valve. SC cath was advanced into body of coronary sinus. Baseline findings recorded. Physician decided not to ablate. Conclusion: left-side AFL. Unable to pace terminate."

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