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Based on description below, which code is correct 93656 or 93653, 93655x2?

Date: Jul 29, 2022

Question:

Based on description below, which code is correct 93656 or 93653, 93655x2?

"PREOPERATIVE DIAGNOSIS: Recurrent refractory atrial flutter & atrial fib with prior pvi procedure

CS catheter & Intracardiac echocardiographic catheter was advanced. Transseptal catheterization was performed for left heart catheterization. Left atrial pressure 14. The left atrium was mapped using the NavX system. All veins were isolated. There was also ablation of the left atrial roof in the posterior wall. The radiofrequency catheter ablation of the left atrial appendage was performed, but was intentionally not isolated. Catheter withdrawn into the right heart. Radiofrequency catheter ablation for atrial flutter was performed. Vein of Marshall ablation was performed following coronary sinus venography. The patient was cardioverted to sinus rhythm.

--POST OP- Intact PVI from prior ablation, Status post ablation of the left atrial appendage, alcohol ablation of the vein of Marshall, and radiofrequency catheter ablation for atrial flutter."

Question ID : 17579
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