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BASELINE EKG Afib converted to sinus once under anesthesia.

ABLATION Q Dot DF ablation catheter inserted to the RA under mapping guidance. Upon completion of the CTI line and gaining transseptal access, the Farawave ablation catheter was inserted.

DETAILS Q dot DF catheter was positioned along the isthmus. Lesions were placed from the TV annulus until the IVC. Upon completion of the CTI line bidirectional block was noted with timing of 165 msec. The Farawave catheter was positioned in the left atrium at the os of the superior and inferior left and right pulmonary veins. Appropriate lesions were placed in the basket and flower position. Since there is a left common os lesions were placed in the left pulmonary vein in the olive position (small basket) Upon completion of the PFA isolation was confirmed. Upon completion of the ablation the catheter was placed in the right atrium and bidirectional block was confirmed at 165 msec

RESULTS Successful RF Ablation of typical AFlutter. Successful PFA of PV.

Would you code 93656, 93655 or 93653, 93655?