Cardiology Question for the Week of April 10, 2017

Question:

We performed an electrophysiology (EP) study with intracardiac echocardiogram (ICE) and coronary sinus (CS) and left atrial (CS/LA) pacing and ablation for supraventricular tachycardia (SVT). Which code(s) can we report?

Answer:

You would report code 93653 for the SVT ablation. That code includes the EP evaluation. You would also report 93662(ICE) and 93621 (LA/CS pacing and recording).

93621+ Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure)
93662+ Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)
93653 Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of an arrhythmia with right atrial pacing and recording, right ventricular pacing and recording (when necessary), and His bundle recording (when necessary) with intracardiac catheter ablation of arrhythmogenic focus; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry

 

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