![]() A new table in the CPT book clarifies what is included in the revised codes and the new parentheticals are under these codes: 93653, 9366. Codes 9366 underwent significant bundling of related services. Note: We do not guarantee that all questions will be answered. The comprehensive electrophysiologic evaluation with ablation codes 93653-93657 are revised for 2022. Need expert advice? Email your questions for consideration in the Revenue Cycle Daily Advisor. If an area of the heart responsible for a short-circuit is identified, this can be targeted with the aim of curing an arrhythmia. Wires are passed to the heart from the leg, allowing your doctor to make an electrical map of the heart. Be sure to review all documentation specific to your own individual scenario before determining appropriate code assignment. A procedure usually performed as a day case under local anaesthetic and sedation. This answer was provided based on limited information. 02584ZZ, Destruction of conduction mechanism, percutaneous endoscopic approachĮditor’s note: Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O, HCS-D, director of HIM and coding for HCPro in Middleton, Massachusetts, answered this question.02583ZZ, Destruction of conduction mechanism, percutaneous approach.02580ZZ, Destruction of conduction mechanism, open approach.The addition of epicardial ablation resulted in 35.6 minutes of saving to the endocardial ablation time. In the catheter ablation arm, mean ablation time was 171.4 ± 59.7 minutes. insertion and temporary pacemaker codes are not additionally reported. complications and the ICD-10-CM/CPT codes used for the identification can be found. In the Convergent arm, the mean ablation time was 42.9 ± 13.7 minutes for the epicardial portion and 135.8 ± 49.9 minutes for the endocardial portion of the procedure. This procedure can be reported with the following ICD-10-PCS codes: Keywords: Atrial fibrillation catheter ablation same-day discharge. The ablation procedure is directed at the pathway for electrical impulses rather the muscular wall of the heart itself. However, according to Coding Clinic, Third Quarter 2016, the body part being treated is actually the atrioventricular node, which is assigned to body part character 8: conduction mechanism. When ablation procedures are performed to treat AF, it would seem like the body part value would be the atrium (right or left). In ICD-10-PCS, ablation procedures for treatment of AF are assigned to the root operation Destruction (the physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent). How should we report this in ICD-10-PCS?Ī: An ablation is a common form of treatment for AF. Q: We have a patient who was admitted for an ablation procedure in order to treat his atrial fibrillation (AF).
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