SOB Master 15

Electrophysiologic pacing, mapping and ablation # G178 -catheter ablation therapy

................................................................................... 352.05 # G179 -repeat pacing, mapping and catheter ablation
for additional distinct arrhythmia(s) without the use of an advanced mapping system........................ 111.20

Note: G179 is not eligible for payment with Z423.

# Z424 -transseptal left heart catheterization, with or without pressure measurements, with or without dye injection
............................................................................... 297.15 6
Note:
1. Z424 is only eligible for payment when rendered with G176, G177 and/or G178.
2. Z424 is eligible for payment for each transseptal catheter placement to a maximum of 2.

# Z422 -retrograde aortic left heart catheterization with or without pressure

measurement(s)................................................................................................. 210.55 6
Note:
1. Z422 is only eligible for payment when rendered with G176, G177 and/or G178.
2. Z422 is limited to a maximum of one per electrophysiological pacing, mapping and/or ablation sitting.

G115 External cardiac pacing (temporary transthoracic) once per 24-hour period........... 46.30
Note: G115 is not eligible for payment with G521, G522, G523, G395 and G391.
# G366 Testing of arrhythmia inducibility by acute administration of anti-arrhythmic or adrenergic drugs to a maximum
of 2 per 24 hours ............................................ 148.50
Note: G366 is not eligible for payment for the use of isoproterenol for arrhythmia induction when rendered with G261
and/or G259.
# Z443 Insertion of temporary endocardial electrode .......................................................... 154.10 6 # Z431
Repositioning of temporary endocardial electrode .................................................. 64.25 6
Endomyocardial Biopsy # G288 -transvascular, right or left...................................................................................
200.00
Tilt table testing of vasomotor syncope # G314 -to include arterial cannulation, provocative and blocking drugs,
physician must be continually present ........................................................................................ 112.00
December 22,