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93650

Date: May 18, 2020

Question:

Our physician stated that he performed an AV node ablation recently. I felt his documentation was lacking, so I queried him to ask him to update what he ablated. This is what the ablation portion of the procedure said: “A 4 mm tipped ablating electrode was advanced fluoroscopically to the His bundle electrogram. Catheter ablation at that site produced complete heart block and ventricular demand pacing at 40 beats per minute. She was convalesced for 20 minutes in the EP lab and remained in complete heart block." His response to the query was: “The His bundle electrogram identifies the AV node, which doesn’t produce an electrogram. So that verifies the AVN ablation.” Is this enough to justify 93650?

Question ID : 13968
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