I have provider who wants to keep billing 93312, 93320 and 93325, but I don't see where 93320 or 93325 is valid based on the documentation, maybe someone can help me read it and understand if I should be also billing 93320 and 93325 please!!!!!
SEDATION:
Versed 5 and fentanyl 100.
PREOPERATIVE DIAGNOSIS:
Atrial fibrillation.
POSTOPERATIVE DIAGNOSIS:
Atrial fibrillation.
COMPLICATIONS:
None.
SPECIMEN TAKEN:
None.
ESTIMATED BLOOD LOSS:
Zero.
INDICATION FOR PROCEDURE:
Briefly, xxxxx 61-year-old gentleman with past medical
history of cardiomyopathy, persistent atrial fibrillation status post ablation.
He has developed recurrent atrial fibrillation post ablation. He is seen,
examined, and deemed appropriate for transesophageal echo to rule out left
atrial thrombus prior to cardioversion procedure.
1. Left ventricle EF 45%.
2. Left atrium: Grossly left atrium is severely dilated. There is no thrombus.
3. Left atrial appendage: There is no thrombus.
4. Mitral valve: There is trace mitral regurgitation.
5. Aortic valve: The aortic valve is trileaflet. There was trace central
aortic regurgitation. There is no evidence of aortic stenosis.
6. Tricuspid valve: There is trace tricuspid regurgitation.
7. Atrial septum: There is evidence of interatrial shunt, which is consistent
with previous transseptal puncture site.
8. Pericardium: There is no pericardial effusion.
9. Aorta: The aortic root measures 4 cm.
SEDATION:
Versed 5 and fentanyl 100.
PREOPERATIVE DIAGNOSIS:
Atrial fibrillation.
POSTOPERATIVE DIAGNOSIS:
Atrial fibrillation.
COMPLICATIONS:
None.
SPECIMEN TAKEN:
None.
ESTIMATED BLOOD LOSS:
Zero.
INDICATION FOR PROCEDURE:
Briefly, xxxxx 61-year-old gentleman with past medical
history of cardiomyopathy, persistent atrial fibrillation status post ablation.
He has developed recurrent atrial fibrillation post ablation. He is seen,
examined, and deemed appropriate for transesophageal echo to rule out left
atrial thrombus prior to cardioversion procedure.
1. Left ventricle EF 45%.
2. Left atrium: Grossly left atrium is severely dilated. There is no thrombus.
3. Left atrial appendage: There is no thrombus.
4. Mitral valve: There is trace mitral regurgitation.
5. Aortic valve: The aortic valve is trileaflet. There was trace central
aortic regurgitation. There is no evidence of aortic stenosis.
6. Tricuspid valve: There is trace tricuspid regurgitation.
7. Atrial septum: There is evidence of interatrial shunt, which is consistent
with previous transseptal puncture site.
8. Pericardium: There is no pericardial effusion.
9. Aorta: The aortic root measures 4 cm.