Ask Dr. Z

"Patient seen in clinic and EKG showed AFL vs SVT with HR in the 130s. Plan was made for TEE and cardioversion. TEE was clear. Patient was brought to lab and monitored with continuous 12 lead ECG. Initially, 6 mg of adenosine was administered without effect. Proceeded with 12 mg of adenosine with notable change in heart rate from the 130s down to 40s. Review of 12 lead ECG showed P wave morphology that was positive in all inferior leads and throughout the precordial leads. His rhythm was recognized as an atypical atrial flutter. Proceeded with DCCV, shocking with 200 J x 1 with restoration of normal sinus rhythm." Can we bill 92960 with 93799 for the cardioversion and adenosine challenge?