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A-Flutter Ablation with Re-isolation Right Pulmonary Veins

Date: Dec 19, 2018


Patient with history of PVI six years prior has developed atrial flutter with rapid ventricular response. Entrainment mapping confirms CTI dependent right atrial flutter, and this is ablated and restores sinus rhythm. Physician then proceeds to do transseptal puncture and check pulmonary veins are isolated. Right side is found to be re-connected and is re-ablated. No mention of any a-fib, only a-flutter in report. Is this re-isolation of right side PV reportable as PVI, or is it 93655 since no documentation of atrial fibrillation?

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