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Alcohol Ablation for VT

Date: Apr 17, 2015

Question:

"Patient continues to have episodes of VT storm resulting in multiple ICD therapies, and he is therefore now being referred for selective septal coronary alcohol ablation during which EP testing and RV stimulation protocol along with 3D mapping and ICE are being utilized. Conclusion: Successful alcohol ablation of basal septal branch for the treatment of medically refractory and catheter ablation refractory septal VT."  (A heart catheterization was also done.) I don't think I can use code 93583, as the patient does not have HOCM. How do I code this? Unlisted? And are all the add-ons a loss?

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