How To Use CPT Code 0623T

CPT 0623T describes the automated quantification and characterization of coronary atherosclerotic plaque to assess the severity of coronary disease using data from coronary computed tomographic angiography (CTA). This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0623T?

CPT 0623T is used to report the complete service of preparing and transmitting quantitative coronary CTA data, computerized analysis of the data, reviewing the computerized analysis output, and providing an interpretation and report. This code helps assess the severity of a patient’s coronary disease by analyzing the extent and characteristics of coronary atherosclerotic plaque.

2. Official Description

The official description of CPT code 0623T states that it involves the automated quantification and characterization of coronary atherosclerotic plaque using data from coronary CTA. The service includes data preparation and transmission, computerized analysis of the data, review of computerized analysis output to reconcile discordant data, interpretation, and report. It is important to note that the coronary CTA itself is performed and interpreted separately and is not included in this service.

3. Procedure

1. Quantitative coronary CTA is a noninvasive imaging procedure that provides quantitative information about a patient’s coronary stenosis.
2. The coronary CTA data is analyzed using specialized software that automatically quantifies lesion length, plaque volumes, and plaque type.
3. The provider prepares and transmits the quantitative coronary CTA data for computerized analysis.
4. The computerized analysis is performed, generating findings on the extent and severity of coronary artery disease.
5. The provider reviews the computerized analysis output to reconcile any discordant data.
6. An interpretation and report are completed based on the computer-generated findings.

4. Qualifying circumstances

CPT code 0623T is used for patients with coronary artery disease who undergo coronary CTA to assess the severity of their condition. The service requires the use of specialized software for automated quantification and characterization of coronary atherosclerotic plaque. The provider must review the computerized analysis output to ensure accuracy and reconcile any discordant data. The interpretation and report are crucial components of this service.

5. When to use CPT code 0623T

CPT code 0623T should be used when all components of the automated quantification and characterization of coronary atherosclerotic plaque service are performed, including data preparation, transmission, computerized analysis, review of analysis output, interpretation, and report. If only some of these components are performed, separate codes should be used to report each individual component.

6. Documentation requirements

To support a claim for CPT code 0623T, the provider must document the following:

• Patient’s diagnosis of coronary artery disease
• Coronary CTA data preparation and transmission
• Computerized analysis of the data
• Review of the computerized analysis output
• Reconciliation of any discordant data
• Interpretation of the computer-generated findings
• Completion of a report summarizing the findings and interpretation

7. Billing guidelines

When billing for CPT code 0623T, ensure that all components of the service are performed and documented. It is important to note that the coronary CTA itself is not included in this code and should be reported separately. If reporting less than the complete service, separate codes should be used for the individual components. It is also important to follow any additional guidelines provided by payers regarding the use of CPT code 0623T.

8. Historical information

CPT code 0623T was added to the Current Procedural Terminology system on January 1, 2021. There have been no updates to the code since its addition.

9. Examples

1. A patient with known coronary artery disease undergoes coronary CTA, and the data is analyzed using specialized software. The provider reviews the computerized analysis output, reconciles any discordant data, and provides an interpretation and report.
2. Following a coronary CTA, the provider prepares and transmits the quantitative data for computerized analysis. The computer-generated findings are reviewed, and an interpretation and report are completed.
3. A patient with suspected coronary artery disease undergoes coronary CTA, and the data is analyzed using automated algorithms. The provider reviews the computerized analysis output, reconciles any discordant data, and provides an interpretation and report.
4. After performing a coronary CTA, the provider prepares and transmits the quantitative data for computerized analysis. The findings are reviewed, and an interpretation and report are completed based on the computer-generated results.
5. A patient with a history of coronary artery disease undergoes coronary CTA, and the data is analyzed using specialized software. The provider reviews the computerized analysis output, reconciles any discordant data, and provides an interpretation and report.
6. Following a coronary CTA, the provider prepares and transmits the quantitative data for computerized analysis. The computer-generated findings are reviewed, and an interpretation and report are completed.
7. A patient with suspected coronary artery disease undergoes coronary CTA, and the data is analyzed using automated algorithms. The provider reviews the computerized analysis output, reconciles any discordant data, and provides an interpretation and report.
8. After performing a coronary CTA, the provider prepares and transmits the quantitative data for computerized analysis. The findings are reviewed, and an interpretation and report are completed based on the computer-generated results.
9. A patient with a history of coronary artery disease undergoes coronary CTA, and the data is analyzed using specialized software. The provider reviews the computerized analysis output, reconciles any discordant data, and provides an interpretation and report.
10. Following a coronary CTA, the provider prepares and transmits the quantitative data for computerized analysis. The computer-generated findings are reviewed, and an interpretation and report are completed.