Ask Dr. Z

"ICE catheter was advanced to the right atrium, and we imaged the ASD and PFO. ASD measurements were performed. A wire was placed across the ASD into the left atrium. An 11 mm ASD septal occluder device was then deployed into the left atrium. It was pulled back to the ASD, and the right atrial disk was deployed. Imaging under ICE showed excellent closure of the ASD. We then placed a wire through the PFO and measured. We used an 18 mm PFO closure device. The left atrial disk was deployed and pulled back to the PFO. Next the right atrial disk was deployed. We took some time to make sure that this did not interfere with the ASD closure device. Once we were sure that we had good closure of both the ASD and PFO, each of these was released."

Code 93580 has an MUE of 1, but an adjudication indicator of 1, which I understand to mean it can be appealed. Is it appropriate to charge 93580 x 2 and appeal, since both a PFO and ASD were repaired? Or is this just considered one procedure and we should only charge 93580 x 1?