Ask Dr. Z

"Patient brought into the EPS lab for presumptive type 1 atrial flutter. Right and left inguinal areas were anesthetized with 1% local lidocaine. Hemostatic introducer sheaths were placed percutaneously in the right and left femoral veins using modified Seldinger technique. Multipolar recording and ablating electrodes were advanced from the femoral veins to the right atrium. Entrainment mapping from the cavotricuspid isthmus produced classic entrainment with a change in the atrial activation and a long post pacing interval. With that finding, it was felt to represent a non-cavotricuspid isthmus of dependent atrial flutter. I elected to cardiovert him and will plan to try to suppress his arrhythmia with antiarrhythmic drug." The doc says in the name of the procedure that he was cardioverted via his implantable ICD, and that his ICD was working well. I was thinking of using the individual study codes, but since he used multipolar “electrodes” does this mean he’s doing this through the device? Could you please advise what CPT codes you would use?