What is the CPT code for electrophysiology studies?
93653, 93654, and 93656: CPT‡ codes 93653, 93654, and 93656 coding descriptors were updated by the AMA effective for January 1, 2022. Catheter Ablation CPT‡ codes include Comprehensive EP studies. INTRACARDIAC ECHO / TRANSEPTAL ACCESS (ADD-ON SERVICES) List separately in addition to code for primary procedure.
Does Medicare cover an electrophysiology procedure?
Your doctor may request an electrocardiogram (EKG) to evaluate your heart health and check for different conditions. Medicare covers this diagnostic testing, but your out-of-pocket costs depend on where you get the test.
What is procedure code 93653?
Atrial flutter ablation would be reported as 93653, while atrial fibrillation ablation of pulmonary veins would be 93656. The descriptor for code 93656 states, “with atrial recording and pacing, when necessary”, which allows reporting in cases when this is not possible.
How is an electrophysiology study performed?
During an EP study, your doctor inserts small, thin wire electrodes into a vein in the groin (or neck, in some cases). He or she will then thread the wire electrodes through the vein and into the heart. To do this, he or she uses a special type of X-ray “movie,” called fluoroscopy.
What is the CPT code for WPW ablation?
PHYSICIAN SERVICES Additional ablation package codes are 93653 for atrial flutter and other supraventricular tachycardias; 93654 for ventricular tachycardia; and add-on code 93655 for additional atrial or ventricular mechanism.
How much does an ablation procedure cost?
Results: The cost of catheter ablation ranged from $16,278 to $21,294, with an annual cost of $1,597 to $2,132. The annual cost of medical therapy ranged from $4,176 to $5,060.
What is procedure code 93312?
CPT® Code 93312 in section: Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording)
What is procedure code 33249?
33249. INSERTION OR REPLACEMENT OF PERMANENT IMPLANTABLE DEFIBRILLATOR SYSTEM, WITH TRANSVENOUS LEAD(S), SINGLE OR DUAL CHAMBER. 33262. REMOVAL OF IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR WITH REPLACEMENT OF IMPLANTABLE DEFIBRILLATOR PULSE GENERATOR; SINGLE LEAD SYSTEM.
What is the difference between a cardiologist and electrophysiologist?
In general, cardiologists help prevent and treat heart diseases, including heart attack, heart failure, valve problems and some arrhythmias. The electrophysiologist is trained to diagnose and treat arrhythmias.
Electrophysiology Studies CPT 93621 Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode
What is an electrophysiology study?
Electrophysiology studies are invasive diagnostic intracardiac procedures performed to assess patients’ cardiac arrhythmias. Comprehensive Electrophysiology Evaluations include the following: Insertion and repositioning of electrode catheters Right atrial pacing and recording
What is the CPT code for catheter ablation?
Catheter Ablation CPT‡ codes include Comprehensive EP studies. (+) = Indicates add-on code. List separately in addition to code for primary procedure. The -26 modifier may be applicable for a number of these codes. 93655 has a medically unlikely edit (MUE) of 2 units. Ablation codes 93653, 93654, and 93656 do not require a modifier -52.
Are electrophysiology studies and Arrhythmia ablation difficult to report?
Electrophysiology studies and arrhythmia ablation can be tricky to report due to the number of bundled and add-on codes. Here’s a step-by-step approach to coding these medical procedures with confidence.