Cardiology Question for the Week of March 13, 2017

Cardiology Compliance Question of the Week

Question:

If we perform a left-sided atrial fibrillation (a-fib) ablation (93456) and then, after diagnostic maneuvers, we get an atrial flutter on the right side and ablate that, would code 93655 also be reported?

Answer:

Yes, you would report 93655 for the atrial flutter ablation after the a-fib ablation (93656).

93655  Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure)
93656  Comprehensive electrophysiologic evaluation including transseptal catheterizations, insertion and repositioning of multiple electrode catheters with induction or attempted induction of an arrhythmia including left or right atrial pacing/recording when necessary, right ventricular pacing/recording when necessary, and His bundle recording when necessary with intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation

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