Ask Dr. Z

The physician performed a comprehensive intracardiac electrophysiologic. Before the EPS portion, the physician states, “At the beginning of the procedure, pulmonary angiography was performed to identify the left pulmonary veins. Selected cath all segments of the left lung and performed balloon occlusion. They demonstrated normal left-sided pulmonary venous return to the left atrium. There was no evidence of an aberrant left pulmonary vein.” His findings of the pulmonary angiograms were: ”Selective balloon occluded left pulmonary artery angiograms were performed to outline the left-sided pulmonary venous anatomy. From all 3 segments of the left pulmonary artery contrast flowed normally into the left pulmonary veins and entered into the left atrium. There was no evidence of an aberrant left pulmonary vein to the innominate vein.” Despite being treated for supraventricular tachycardia, the doc was unable to identify accessory pathways or inducible arrhythmias. He did not ablate anything. Could you please tell us your code assignments based on this info?