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93621 and 93622

Date: Dec 15, 2020

Question:

We have EP doctors that would like to charge for 93621/2 with allowed ablation procedures. However, I do not feel like the documentation is appropriate enough to bill either 93621 nor 93622. Plz note below:

"All vascular access sites were prepped and draped in the usual sterile fashion and the Seldinger technique was used to catheterize right and left femoral vein with multipolar electrode catheters, which were placed in the appropriate intracardiac sites under fluoroscopic guidance. During the procedure right atrial pacing and sensing, His bundle sensing, RV pacing and sensing, and left atrial sensing and pacing, left ventricular sensing and pacing were performed."

I feel like this is not descriptive enough. Should the doctor(s) say where the catheters were placed and then what was performed from each location? For example: "A decapolar cath was inserted into the CS and left atrial (and or ventricular) pacing and recording performed." Please advise. 

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