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Documentation requirements for 93657 after PVI

Date: Jul 23, 2021

Question:

When a patient comes in for a PVI ablation, and additional ablative lines are performed after PVI, does the physician need to state that the patient remained in Afib in order to report 93657?

In regards to CFAE ablation after PVI, CPT Assistant, September 2019, seems to say that the physician does not have to document that the patient remained in Afib in order to report 93657. Is that correct?

We want to make sure we are clear in what needs to be documented in order to capture 93657.

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