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Question for Pulmonary vein ablation
Date: Mar 6, 2012
Question:
Dr. Z,
Our cath lab wants to charge complete EP study when they place a spiral catheter in pulmonary veins and pacing and recording to isolate them. When asked for rationale – catheters are positioned in many veins and that’s they are charging complete EP study. But per CPT book and CPT assistant catheters must be in right heart (RA/RV/HIS) for pacing and recording at least two areas (or one area with ‘52’ ) and these cases they are only placing a catheter in CS and an ICE catheter in RA and a spiral catheter in one of the pulmonary veins to perform ablation for A-Fib. Not sure this constitutes a complete EP study. We would like to explain our cath for documentation requirements, please explain.
Our cath lab wants to charge complete EP study when they place a spiral catheter in pulmonary veins and pacing and recording to isolate them. When asked for rationale – catheters are positioned in many veins and that’s they are charging complete EP study. But per CPT book and CPT assistant catheters must be in right heart (RA/RV/HIS) for pacing and recording at least two areas (or one area with ‘52’ ) and these cases they are only placing a catheter in CS and an ICE catheter in RA and a spiral catheter in one of the pulmonary veins to perform ablation for A-Fib. Not sure this constitutes a complete EP study. We would like to explain our cath for documentation requirements, please explain.
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