Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2022. The coding advice may or may not be outdated.

EPS/Ablation pre-proc DX: paroxysmal atrial fib/paroxysmal atrial flutter

Date: Nov 28, 2022

Question:

May we report codes 93656/93655 for the following?

"Cryoballoon ablation with PVAI, RF ablation CTI. Four femoral venipunctures/sheaths placed. ICE cath to right atrium, low normal EF/trace pericardial effusion noted. Ablation catheter to right atrium, 3D map created. CS cath advanced to CS. Baseline conduction taken. RF of CTI delivered. Bidirectional block confirmed. Ablation catheter removed. ICE-guided transseptal puncture, trace pericardial effusion noted. Cryoballoon advanced to left atrium. 3D map created. Pulmonary veins identified. Voltage mapping. Four pulmonary veins targeted with cryoablation. Entrance and exit block documented. Comprehensive EP study with R/L atrial pacing/recording and His bundle recording. AH and HV intervals noted to be 120 ms and 54 ms respectively. ICE noted baseline trace pericardial effusion. All catheters removed."

Question ID : 18041
Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!