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Atrial Flutter by PVI

Date: Nov 4, 2014

Question:

"Patient presents for ablation of atrial flutter. They are post MAZE/MV replacement procedure for a-fib at another facility and has since had continued issues with a-flutter. EP and ablation today show patient to have reconnection of one pulmonary vein with LA, which is causing the a-flutter. Another a-flutter mechanism is also identified in the RA." Should this situation be reported using codes 93656/93655 or using codes 93653/93655?

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