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Aflutter vs Afib PVI

Date: Oct 17, 2022

Question:

"The baseline rhythm was atrial flutter. A 3-D shell representing the left atrium and pulmonary veins was completed with FAM mapping. Octaray catheter was used to map each PV. There is noted partial reconnection of the left superior pulmonary vein by the ridge. Activation mapping of the atrial flutter demonstrated early meets late around the roof/ridge. A 3.5-mm irrigated tip ablation catheter was advanced into the left atrium. All 4 pulmonary veins were isolated with wide-area circumferential ablation. After reisolation of pulmonary veins along with roofline, there is noted ongoing atrial flutter therefore further ablation was performed to complete posterior box isolation with roofline and floor line. Due to ongoing atrial flutter, ablation was then performed in the mitral isthmus to create a line from the left inferior pulmonary vein to the mitral annulus which led to termination to sinus rhythm."

Provider coded 93656, 93657, 93655. Should this be 93653, 93655 x 2, and 93662-26 due to no Afib?

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