Question:
Is this 2 units for 93657 and 2 units of 93655? Or is this just 93656?
“The posterior wall did have some fractionated electrograms. The ICE catheter was withdrawn and a 5F quadripolar catheter was placed in the RV apex for pacing post ablation. The mapping catheter was withdrawn and replaced by a 31 mm Farapulse PFA catheter after the exchange of the sheath with the Farapulse steerable sheath, which was then used to create wide area circumferential lesions around the pulmonary veins as well as the carina between the veins.
Four lesions were placed in each vein in the basket configuration, rotating the basket roughly 30 degrees for the second two lesions. The catheter was then moved to the flower configuration, again rotating the catheter after two similar lesions for the second set of two lesions. These were placed to be certain to encompass the carina on each side. Following these, a series of lesions were placed sequentially on the posterior wall with overlapping positions to isolate the posterior wall and the posterior complex electrograms with lesions placed along the roof and low posterior left atrium.”
Answer:
We would report the PVI as 93656, and the posterior wall/roof/floor as one 93657. WACA includes carina and is part of PVI.
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