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Pharmacologic Challenge with Esophageal EP Procedure

Date: Apr 2, 2015

Question:

At our children’s hospital we have a procedure where they did an esophageal recording/pacing (93616) along with a programmed stimulation and pacing after drug infusion (isoproterenol or epinephrine). Normally for EP procedures we charge for the drug stimulation/pacing (93623), but code 93616 is not a parent code to 93626. We do this to determine if they need a full invasive EP procedure or if continuation of antiarrhythmic medication is still needed until they are large enough (weight or age depending on the child’s size) to have the EP procedure. What would you suggest to code in addition to 93616? Is there an appropriate code to charge for the pharmacologic portion of these procedures?

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