Ask Dr. Z

Hi Dr Z, I would like your input on an aborted EPS that has hit an audit. The Pt was to have an EPS w/ ablation for PVC. "The patient was taken to the electrophysiology laboratory in a fasting state. Noninvasive ECG monitoring was notable for one isolated premature ventricular complex that was strongly suggestive of a right ventricular outflow tract focus. More specifically, there was a left bundle branch block morphology with a late transition and an inferiorly directed axis. The patient's bilateral upper legs were prepped and draped in the usual sterile fashion, and the patient was monitored. With no further spontaneous ectopy, the patient was given increasing doses of intravenous isoproterenol up to and including doses as high as 20 mcg per minute. She was also given intravenous Aminophyllin up to 200 mg in a bolus fashion. Varying levels of sedation as well as beta-blockade with 10 mg of intravenous metoprolol in divided doses; however, no further ectopy was noted. After two hours of observation, decision was made to abort any attempt at electrophysiologic studies and/or ablation. The patient was returned back to the day patient area in stable condition." I coded for the intended procedure 93620-74 EPS w/induction and for the add on code 93623 drug infusion. How would you have coded this. Thanks for your help.