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Post Ablation Isuprel Infusion

Date: May 6, 2014

Question:

"Procedure performed: Through an Aegilis deflectable sheath system a Freezor Xtra 3 6 mm cryoablation catheter was introduced into this location. Cryoablation was performed under 3-D electrode anatomic mapping and intracardiac echo guidance with temperatures down to -80°C with continuous monitoring of the AH and HV interval. Pre-excitation and premature atrial contractions were ablated within 10 seconds of the first lesion with prolongation of the HV interval to 58 ms. Three continuous lesions in a freeze thaw freeze cycle were placed each of 240 to 300 seconds duration. Patient was then observed for 30 minutes post ablation with isuprel infusion up to 10 mcg/min. Antegrade and retrograde pacing protocols were performed during this time including Wenkebach cycle lengths. HV interval was 58 ms." Question: Can code 93623 be reported in addition to 93653? Or is code 93623 reserved for pre-ablation drug infusion? Your feedback is greatly appreciated.

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