pt comes in for comp EP eval (93620) BUT only performed the following:
Vascular sites were accessed using the percutaneous modified Seldinger technique under ultrasound guidance. Access was obtained via right femoral vein with a 7F sheath . Catheters were advanced fluoroscopic guidance. A quadrapolar catheters was advanced to the RV apical position.
Ventricular tachycardia induction attempt: From the right ventricular apex and RV base, up to triple extra-stimulus pacing at 600ms and 400 ms failed to induced any sustained ventricular arrhythmias
Because of the findings, an upgrade to a CRT-D was not performed (CRT/P was)
Should I be billing the VT induction attempt with a different code, as only 1 catheter and 1 site were used?
Vascular sites were accessed using the percutaneous modified Seldinger technique under ultrasound guidance. Access was obtained via right femoral vein with a 7F sheath . Catheters were advanced fluoroscopic guidance. A quadrapolar catheters was advanced to the RV apical position.
Ventricular tachycardia induction attempt: From the right ventricular apex and RV base, up to triple extra-stimulus pacing at 600ms and 400 ms failed to induced any sustained ventricular arrhythmias
Because of the findings, an upgrade to a CRT-D was not performed (CRT/P was)
Should I be billing the VT induction attempt with a different code, as only 1 catheter and 1 site were used?