Q & A with Dr. Z: Coding for 93623

by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC

Question: Coding for 93623
Is the documentation below sufficient to code 93623? Would you please explain why or why not?

“Bi-directional block was demonstrated in and out of all 4 pulmonary veins post ablation. Adenosine was administered in 9 mg boluses to check for dormant pulmonary vein reconnections and additional ablation was administered as needed to eradicate these connections.”

We would not recommend reporting code 93623 in this case, as the administration of the adenosine here is only for checking the efficacy of the PVI and ensuring no pulmonary vein reconnections are detected.


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About the Author

David Zielske is founder and President of ZHealth Publishing and primary author and editor of ZHealth publications. Dr. Z practiced as an interventional radiologist and has over twenty years experience as a coding reviewer and coding expert. He is Board Certified in Radiology and has functioned as an independent interventional radiology, vascular surgery, and cardiovascular coding consultant to a variety of physician groups and hospital providers across the country. He also served as an instructor for over 200 coding seminars.

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