Permanent cardiac pacemakers refer to a group of self-contained, battery operated, implanted devices that send electrical stimulation to the heart through one or more implanted leads. Single chamber pacemakers typically target either the right atrium or right ventricle. Dual chamber pacemakers stimulate both the right atrium and the right ventricle.  The implantation procedure is typically…

Left Heart Catheterization The physician threads a catheter to the heart, most frequently through an introducing sheath placed percutaneously into the femoral, brachial, or axillary artery using retrograde technique. Using this technique, the catheter passes through the aortic valve into the left ventricle. Blood samples, pressure and electrical recordings, and/or other tests are performed. ECG…

Swan-Ganz Catheterization procedure commonly includes insertion of a flexible, balloon-tipped catheter into the pulmonary artery for bedside diagnosis or hemodynamic monitoring of the critically ill patient. This procedure includes cannulation of a central vein, such as the subclavian or internal jugular vein, through which a flow-directed catheter is advanced into the right atrium (RA), right…

The following services are included in cardiac catheterization and coronary angiography, and should not be separately billed to Medicare: sedation; local anesthesia; positioning, repositioning, and removal of catheter(s); recording of intravascular and intracardiac pressures; obtaining blood samples for blood gas determinations; cardiac output measurements at rest, or at rest and during exercise, with or without…

The Swan Ganz catheter CPT code is 93503 (Swan-Ganz) is reported when the procedure is done at bedside (e.g., critical care unit/operating room suite) and the procedure is done for the purposes of hemodynamic monitoring. Swan Ganz catheter CPT code 93503 includes the following components which, should not be coded separately: Anesthesia or sedation; The…