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Pacemaker insertion followed by EP followed by programming

Date: Jul 6, 2012

Question:

Please do NOT include any actual patient medical records with your question. Dr. Z, Indication: A-Fib with rapid ventricular responsse refractory to medical therapy with amiodarone and rate slowing drugs. Referred to EP physician for AV nodal ablation and single chamber PPM. First performed PPM insertion then proceeded to AV nodal abaltion at the end of the procedure reprogrammed to VVIR mode. Is this enough to code 99286 even though it is included in the initial insertion since this scenario is different that they have to reprogramm because Of AV nodal ablation? Thanks
Question ID : 3946
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