tci ED Coding & Reimbursement Alert - 2001 Issue 8

Reader Question: Wolff-Parkinson-White Syndrome

Question: How should I code an emergency-room visit for a child with known Wolff-Parkinson-White (WPW) syndrome who presents with supraventricular tachycardia (SVT) to 260 bpm that is converted to sinus rhythm by administration of adenosine? Is this chemical cardioversion billable? Illinois Subscriber  Answer: Although chemical cardioversion is used to treat arrhythmia commonly caused by WPW, CPT does not recognize it as a procedure for this purpose. Electrical cardioversion (92960, electrical conversion of arrhythmia) is recognized by CPT and might on occasion be performed in the ED to treat a WPW patient suffering from arrhythmia. Using medication such as...

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