Question:

When is 92961 used? If a patient with an implantable cardiac defibrillator (ICD) is cardioverted for atrial fib, is this the appropriate code to use?

Answer:

If you are asking whether you can charge 92961 for defibrillation done by the implanted ICD, the answer is no. Code 92961 requires vascular access and placing catheters into the heart specifically for cardioversion.

The November 2000 issue of CPT Assistant provides detailed information and a clinical vignette about code 92961, which was added to CPT® in 2000 to report internal cardioversion—a procedure that is most commonly used to convert atrial fibrillation to normal sinus rhythm when external cardioversion is unsuccessful. Internal cardioversion requires vascular access, placement of catheters into the heart under fluoroscopic guidance, and a much greater knowledge of electrophysiology procedures.

Another important guideline about the code comes from the 2018 CPT book, which says the following: “(Do not report 92961 in conjunction with 93282–93284, 93287, 93289, 93295, 93296, 93618–93624, 93631, 93640–93642, 93650, 93653–93657, 93662).”


CPT® is a registered trademark of the American Medical Association.

Facebook
Twitter
LinkedIn
Email
Print

CPT® copyright 2021 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.