How To Use CPT Code 93025

CPT 93025 describes the analysis of small alterations in T waves on an electrocardiographic recording of the heart to assess the risk of ventricular arrhythmia. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 93025?

CPT 93025 can be used to analyze small alterations in T waves on an electrocardiographic recording of the heart. This procedure helps healthcare providers assess the risk of ventricular arrhythmia, a life-threatening irregular or abnormal heartbeat originating in the lower chambers of the heart.

2. Official Description

The official description of CPT code 93025 is: ‘Microvolt T-wave alternans for assessment of ventricular arrhythmias.’

3. Procedure

  1. The healthcare provider applies seven specialized alternans sensors and seven conventional electrocardiogram electrodes to the patient.
  2. The provider takes an electrocardiogram of the patient at rest to establish a baseline.
  3. The patient is instructed to exercise on a treadmill, gradually increasing the speed to reach a heart rate between 90 and 110 beats per minute.
  4. Another electrocardiogram is taken while the patient is at stress.
  5. The specialized alternans sensors detect even small variations in T waves, allowing the provider to evaluate the risk of ventricular arrhythmia.

4. Qualifying circumstances

CPT 93025 is used when a healthcare provider needs to assess the risk of ventricular arrhythmia in a patient. It is typically performed on patients who may be susceptible to life-threatening irregular heartbeats. The procedure requires the use of specialized alternans sensors and conventional electrocardiogram electrodes.

5. When to use CPT code 93025

CPT code 93025 should be used when a healthcare provider needs to assess the risk of ventricular arrhythmia in a patient. It is not appropriate for other purposes or conditions.

6. Documentation requirements

To support a claim for CPT 93025, the healthcare provider must document the following information:

  • Patient’s medical history and indication for the procedure
  • Details of the procedure, including the use of specialized alternans sensors and conventional electrocardiogram electrodes
  • Date and time of the baseline electrocardiogram
  • Date and time of the stress electrocardiogram
  • Findings and interpretation of the T-wave alternans analysis
  • Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 93025, ensure that the procedure is performed by a qualified healthcare provider. If reporting only the professional component, append modifier 26. If reporting only the technical component, append modifier TC, unless the hospital provided the technical component. Do not append modifiers if reporting a global service where one provider renders both components.

8. Historical information

CPT 93025 was added to the Current Procedural Terminology system on January 1, 2002. There have been no updates to the code since its addition.

9. Examples

  1. A cardiologist analyzing T-wave alternans on an electrocardiographic recording to assess the risk of ventricular arrhythmia in a patient with a history of heart disease.
  2. A cardiac technician performing the procedure on a patient who recently experienced an irregular heartbeat to determine the risk of ventricular arrhythmia.
  3. An electrophysiologist using CPT 93025 to evaluate the risk of ventricular arrhythmia in a patient with a family history of sudden cardiac death.
  4. A healthcare provider performing the procedure on a patient with known risk factors for ventricular arrhythmia, such as a previous heart attack or heart failure.
  5. A physician using CPT 93025 to assess the risk of ventricular arrhythmia in a patient before undergoing a high-risk surgical procedure.
  6. A healthcare provider analyzing T-wave alternans on an electrocardiogram to monitor the effectiveness of antiarrhythmic medications in a patient with a history of ventricular arrhythmia.
  7. A cardiologist performing the procedure on a patient with unexplained fainting episodes to determine if ventricular arrhythmia is the underlying cause.
  8. An electrophysiologist using CPT 93025 to assess the risk of ventricular arrhythmia in a patient with an inherited cardiac condition.
  9. A healthcare provider performing the procedure on a patient with symptoms suggestive of ventricular arrhythmia, such as palpitations or dizziness.
  10. A cardiac technician analyzing T-wave alternans on an electrocardiogram to evaluate the risk of ventricular arrhythmia in a patient with a history of drug-induced arrhythmias.

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