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Left Atrial Posterior Wall Isolation

Date: Apr 21, 2021

Question:

"Patient has had a previous PVI performed in the past but continues to have paroxysmal atrial fib. The patient is brought to the EP lab where it is noted the pulmonary veins are still isolated; however, there is evidence of dependent slow conduction into the posterior wall after mapping. A LAPWI is performed leaving no conduction into the veins." Would this be 93656 or 93653?

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