How To Use CPT Code 93565

CPT 93565 describes the injection procedure during cardiac catheterization for selective left ventricular or left atrial angiography. 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 93565?

CPT 93565 can be used to describe the injection procedure during cardiac catheterization for selective left ventricular or left atrial angiography. This code is used when a provider passes a catheter into the left ventricle or left atrium and injects dye to evaluate heart function in a patient with congenital heart disease. The provider supervises the collection of images, interprets the images, and makes a report of their findings.

2. Official Description

The official description of CPT code 93565 is: ‘Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to code for primary procedure).’ Notes: (Use 93565 in conjunction with 33741, 33745, 93582, 93593, 93594, 93595, 93596, 93597) (Do not report 93563 – 93565 in conjunction with 93452 – 93461).

3. Procedure

1. The provider introduces a catheter into the left ventricle or left atrium, under fluoroscopic guidance.
2. The provider injects dye into the chamber to assess heart function.
3. The provider supervises the collection of images.
4. The provider interprets the images.
5. The provider makes a report of their findings.

4. Qualifying circumstances

CPT 93565 is used for patients with congenital heart disease who require an injection procedure during cardiac catheterization for selective left ventricular or left atrial angiography. The provider must supervise the collection of images, interpret the images, and make a report of their findings.

5. When to use CPT code 93565

CPT code 93565 should be used when a provider performs an injection procedure during cardiac catheterization for selective left ventricular or left atrial angiography. It should be listed separately in addition to the code for the primary procedure. Do not report CPT codes 93563 – 93565 in conjunction with CPT codes 93452 – 93461.

6. Documentation requirements

To support a claim for CPT 93565, the provider must document the following information:

• Patient’s diagnosis of congenital heart disease
• Fluoroscopic guidance used during the procedure
• Date and time of the procedure
• Specific details of the injection procedure
• Supervision of image collection
• Interpretation of the images
• Report of findings

7. Billing guidelines

When billing for CPT 93565, ensure that the provider performs the injection procedure during cardiac catheterization for selective left ventricular or left atrial angiography. It should be listed separately in addition to the code for the primary procedure. Do not report CPT codes 93563 – 93565 in conjunction with CPT codes 93452 – 93461. It is important to use the appropriate primary code in conjunction with CPT 93565 for reimbursement.

8. Historical information

CPT 93565 was added to the Current Procedural Terminology system on January 1, 2011. There have been no updates to the code since its addition.

9. Examples

1. A provider performs an injection procedure during cardiac catheterization for selective left ventricular angiography in a patient with congenital heart disease.
2. A provider performs an injection procedure during cardiac catheterization for selective left atrial angiography in a patient with congenital heart disease.
3. A provider introduces a catheter into the left ventricle and injects dye to assess heart function in a patient with congenital heart disease.
4. A provider introduces a catheter into the left atrium and injects dye to assess heart function in a patient with congenital heart disease.
5. A provider supervises the collection of images during an injection procedure for selective left ventricular angiography in a patient with congenital heart disease.
6. A provider supervises the collection of images during an injection procedure for selective left atrial angiography in a patient with congenital heart disease.
7. A provider interprets the images obtained during an injection procedure for selective left ventricular angiography in a patient with congenital heart disease.
8. A provider interprets the images obtained during an injection procedure for selective left atrial angiography in a patient with congenital heart disease.
9. A provider makes a report of their findings after performing an injection procedure for selective left ventricular angiography in a patient with congenital heart disease.
10. A provider makes a report of their findings after performing an injection procedure for selective left atrial angiography in a patient with congenital heart disease.