AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 1; Ask the Editor

Internal Cardioversion

A patient with atrial fibrillation, underwent external cardioversion with no conversion and remained in atrial flutter with a ventricular rate of 120. The patient was brought to the electrophysiology (EP) lab for an internal cardioversion. A decapolar catheter was placed into the distal coronary sinus and a second one in the right atrium. This was confirmed by electrogram analysis. The patient was cardioverted internally at 20 joules between the two sites using the Booker Box unipolarizer. The patient was promptly converted to a normal sinus rhythm, and was hemodynamically stable. The catheters and sheaths were then removed. What is the appropriate ICD-10-PCS code assignment for the internal cardioversion? ...

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