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Header vs. body of the report

Date: Jul 30, 2019

Question:

When performing an SVT ablation our physician documents in the header of his report that 3D mapping as one of his procedures. In the body of the report, however, documentation only states entrainment mapping via the coronary sinus catheter and the ablation catheter confirmed that the isthmus between the tricuspid valve annulus and the IVC was involved in the reentrant circuit. He does not specifically state 3D in the body of the report. My understanding is that entrainment mapping can either be standard or 3D. Am I correct? If so, can the header of the report be used to clarify the type of mapping performed (even though we never code a procedure directly from the header)? 

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