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additional mechanism/ ablation documentation struggle is real
Question:
His documentation is frequently confusing ...Would you code 93656/93655? Also, I'm struggling identifying additional mechanisms and afib remaining after ablation. any advice is appreciated. Using the intracardiac echocardiography, a single
transseptal sheath was inserted in the left atrium. The mean right atrial
pressure was measured at 8 mmHg and the mean left atrial pressure was
measured at 10 mmHg. The Biosense/Carto mapping system was utilized
during this procedure. After obtaining the left atrial map, RF pulses
delivered to the left and right carinas until pulmonary vein isolation was
accomplished. After completion of the PVI, LA roof line was created.
The LA posterior wall was then isolated by using pacing/capturing technic.
The esophageal temperature was closely watched and high-flow irrigation
was done whenever temperature rise was noted. The catheter was then
removed from the LA and positioned in the RA . RF touch-up lesions were
performed in the SVC and CTI.
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