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PVI/scar modification/ pacing on isoproterenol

Date: Jan 23, 2024

Question:

Would this documentation support CPT codes: 93656, 936557 and 93623?

PVI was achieved for all veins with entrance and exit block. High dose isuprel induced 2 separate triggers from the posterior roof near the left-sided veins. A detailed sinus rhythm scar map was created showing patchy scar in this region. Scar modification was performed after which no further PACs were noted. Atrial pacing induced brief typical appearing flutter. Pulmonary vein isolation continued through a 30-minute waiting period.

Please advise.

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