Kcronin1122
Networker
Hi all,
I am hoping you can help me with finding a CPT for this procedure performed. (93623??)
Thank you!
ELECTROPHYSIOLOGY PROCEDURE REPORT: Procainamide infusion study
Pre-procedure diagnoses: Cardiac arrest
Post-procedure diagnoses: Cardiac arrest
HPI:
Consent:
This procedure was performed with direct participation of the staff cardiologist, Dr **** who was present and scrubbed for the case and agrees with the procedure note as written..
Patient gave informed consent for EP Study, Transseptal catheterization, coronary angiography, epicardial access, & RF ablation, after comprehending the risks, benefits, indications and alternatives.
Procedures performed:
1. Procainamide infusion study
Procedure time: 1 hrs 0 min
________________________________________________________
Procedure:
The patient was brought into the EP lab and hooked up to a 12-lead ECG machine. A baseline ECG was obtained, with no evidence of a type 1 Brugada pattern noted. Next, procainamide 839 mg (10mg/kg) was infused IV over 30 minutes, with a repeat ECG performed every 10 minutes. The patient's BP and HR was monitored continuously. At the end of 60 minutes, no type 1 Brugada pattern was seen. The patient was observed another 30 minutes with 3 more ECGs in holding after that. No arrhythmias or repolarization abnormalities were noted at any time. The patient was discharged home in stable condition
________________________________________________________
Complications: none
________________________________________________________
Summary:
1) No type 1 Brugada pattern invoked with procainamide infusion.
2) Prior cardiac arrest likely due to hypoxia and infection, not Brugada syndrome.
________________________________________________________
Recommendations:
1) Followup with me as outpatient. Continue current medications
I am hoping you can help me with finding a CPT for this procedure performed. (93623??)
Thank you!
ELECTROPHYSIOLOGY PROCEDURE REPORT: Procainamide infusion study
Pre-procedure diagnoses: Cardiac arrest
Post-procedure diagnoses: Cardiac arrest
HPI:
Consent:
This procedure was performed with direct participation of the staff cardiologist, Dr **** who was present and scrubbed for the case and agrees with the procedure note as written..
Patient gave informed consent for EP Study, Transseptal catheterization, coronary angiography, epicardial access, & RF ablation, after comprehending the risks, benefits, indications and alternatives.
Procedures performed:
1. Procainamide infusion study
Procedure time: 1 hrs 0 min
________________________________________________________
Procedure:
The patient was brought into the EP lab and hooked up to a 12-lead ECG machine. A baseline ECG was obtained, with no evidence of a type 1 Brugada pattern noted. Next, procainamide 839 mg (10mg/kg) was infused IV over 30 minutes, with a repeat ECG performed every 10 minutes. The patient's BP and HR was monitored continuously. At the end of 60 minutes, no type 1 Brugada pattern was seen. The patient was observed another 30 minutes with 3 more ECGs in holding after that. No arrhythmias or repolarization abnormalities were noted at any time. The patient was discharged home in stable condition
________________________________________________________
Complications: none
________________________________________________________
Summary:
1) No type 1 Brugada pattern invoked with procainamide infusion.
2) Prior cardiac arrest likely due to hypoxia and infection, not Brugada syndrome.
________________________________________________________
Recommendations:
1) Followup with me as outpatient. Continue current medications