Wiki EP Ablation Help

[dpumford]

Hi: I am hoping for a couple of coding opionions for this senario, please!!

Rt groin was acessed, using flouroscopic guidance, the axillary vein was cannulated. The 5-french introducer were places into the left axillar vein w/o complication. Multipolar coronary sinus cath ws advanced into the coronary sinus. A 7-french troduces was placed in the rt fem vein. an 8-mm tipped ablation catheter was advanced into the rt atrium.

Conduction times fro the coronary sinus to 7 o'clock on the tricusped isthmus were measured in both directions. In both directions, conduction time in the baseline state is 175mm.

Attempts a inducing atrial flutter were then made from Multiple Pacing sites. We were unable to induce AF. the pt has had documented episodes, and we decided to place a line along the cavatricuspid isthmus. This was done w/drag burns. Three-D map of annulus and Inferior vena cava were made. His position was identified. It showed A-V interval(93602??) of 90, H-V interval of 40 (93600-26??)ms. After placement of line burns attempts at inducing AF were unsuccessful

I am not sure what to give him for the EP part of this. Ablation is 93651 & 93613-26 for mapping.

Any advice would be very appreciated~ Thanks

 

[andersee]

The documentation below is not ideal but you could bill 93620 with a modifier 52 (two sites, his and RA were cath'd, recording, pacing with attempted induction), 93621 (LA), and 93613 (mapping). I would not bill 93651 unless there was documentation that ablation was done that was not included in your email.

Erin