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IV adenosine administration to check for atrial flutter pre EP

Date: Feb 13, 2012

Question:

I haven't run across this before and I'm not sure how to code it on both FAC and PRO side. Pt was brought in for possible DC cardioversion for possible atrial flutter. Anesthesia was provided by anesthesia colleagues. In order to evaluate whether or not the patient had underlying atrial flutter the patient was given IV Adenosine 6mg at 10:04 and 12mg at 10:06 (by the cardiologist). With ensuing bradycardia no underlying atrial futter was noted. Response consistant with sinus rhythm. In summary, pre-op and post-op diagnosis were normal sinus rhythm with cardioversion being cancelled. Do I code 92960-74 or 96374 (IV push) for the FAC side and just 96374 on the PRO side? Thanks for you assistance.
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