Ask Dr. Z

Would 93567 be used here? PVI was performed. During isolation of the right sided PVs right phrenic nerve pacing was performed throughout ablation to ensure intact right phrenic nerve conduction. Right superior PV ablation had to be aborted due to transient right phrenic nerve palsy. The flexcath was exchanged back over the wire to the veracross sheath & repeat EAM was performed. The RSPV showed a persistent connection to the left atrium, so supplemental RF ablation was performed after mapping out the position of the right phrenic nerve. Ablation was successful in achieving PVI for Afib. Would this be considered part of the 93656 and no additional code would be supported? Would the physician have to state that a remaining afib was treated to support the additional code? Thanks!