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Cancelled Cardiac Ablation

Date: Apr 17, 2014

Question:

We have a patient who was scheduled for a cardiac ablation. The EPS catheters were inserted; however, when they got to the IVC they were unable to advance further. Imaging was done of the IVC, which showed occlusion. At this point, the procedure was cancelled. Do you recommend coding the ablation procedure with a -74 modifier (93653-74), or do you feel it would be more appropriate to code the venous catheterization with IVC imaging only? I'm not sure if what was done is enough to justify coding an attempted procedure.

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