AAPC - Back to school
Results 1 to 2 of 2

Thread: EP Ablation Help

  1. #1

    Default EP Ablation Help

    AAPC: Back to School
    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

  2. #2
    Join Date
    Apr 2007
    Rose City (Portland, Oregon)


    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.


Similar Threads

  1. ablation help
    By Tmatthews in forum Cardiology
    Replies: 3
    Last Post: 07-21-2015, 06:07 PM
  2. SI Ablation
    By cortinaz in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-31-2015, 09:25 AM
  3. Replies: 10
    Last Post: 02-22-2012, 11:41 AM
  4. Ablation
    By sriggle in forum OB/GYN
    Replies: 0
    Last Post: 01-12-2010, 03:35 PM
  5. Ablation vs BX
    By LORA CRAWFORD in forum Gastroenterology
    Replies: 12
    Last Post: 07-03-2008, 10:52 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.