Ask Dr. Z

Would you code 93724 during this congenital cath case? "The patient is a 35-year-old male status-post Senning and multiple RF ablation, who was brought to the cathlab for hemodynamic evaluation prior to his scheduled Valve-sparing aortic root replacement surgery. During his most recent RF ablation, he developed CHB and is now pacemaker dependent. Under monitored sedation he underwent complete hemodynamic evaluation, demonstrating mildly elevated RVEDP=14 mmHg with at least moderate RV systolic dysfunction. During his last angiogram in the SVC, he developed slow atrial flutter at rate=100 BPM. He received 6 mg Adenosine to verify his flutter, which was not helpful. Therefore, Dr. X from EP Service overdrive paced at 550 msec using his pacemaker. He converted easily back to A-sensing and V-paced rhythm=70 BPM."