Ask Dr. Z

Arrhythmia attempted to be induced after drug infusion. Since 93623 is an add-on code, what codes should be reported for the following scenario? "The patient was brought to the electrophysiology laboratory in a fasting, non-sedated state and connected to the electrophysiology recording system, and blood pressure and pulse oximetry were monitored continuously. Bilateral groins were prepped, and the patient was draped in the usual sterile fashion. Baseline rhythm was sinus rhythm. The patient was prepped and provided with mild sedation by Anesthesiology. Minimal PVCs were noted at baseline. Isuprel bolus and infusion were administered with no significant increase in PVC burden. Calcium and phenylephrine were also administered with no significant PVC increase. The decision was then made to abort the procedure. The patient was transferred to the PACU in stable condition. CONCLUSIONS: No PVCs at baseline and after administration of isuprel, calcium, and phenylephrine".