Please note this question was answered in 2020. The coding advice may or may not be outdated.
Does documentation support 93657?
Question:
Does this documentation support 93657? "Isolation of all four pulmonary veins was performed. While isolating the right pulmonary vein, phrenic nerve integrity was verified via pacing, the phrenic nerve utilizing the quadripolar catheter above the pulmonary veins. Following the last cryo-application, the cryo-balloon was removed, and a post-ablation voltage map was then created. There was evidence of a gap in the right superior pulmonary vein. The balloon was then prepped again and advanced in the right superior pulmonary vein. An additional application of cryotherapy was made. Following this, the balloon was exchanged for the PentaRay catheter again. Post-ablation voltage mapping showed all veins were isolated."
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