How To Use CPT Code 93566

CPT 93566 describes the injection procedure during cardiac catheterization for selective right ventricular or right 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 93566?

CPT 93566 can be used to describe the injection procedure during cardiac catheterization for selective right ventricular or right atrial angiography. This code is used when the provider passes a catheter into the right ventricle or right 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 93566 is: ‘Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure).’ Notes: (Use 93566 in conjunction with specific primary procedure codes. Do not report 93566 in conjunction with certain other codes.)

3. Procedure

  1. During a cardiac catheterization in a patient with congenital heart disease, the provider introduces a catheter into the right ventricle or right 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 and makes a report of their findings.

4. Qualifying circumstances

CPT 93566 is used for patients with congenital heart disease who require an injection procedure during cardiac catheterization for selective right ventricular or right 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 93566

CPT code 93566 should be used when the provider performs an injection procedure during cardiac catheterization for selective right ventricular or right atrial angiography. This code should be listed separately in addition to the primary procedure code. It should not be reported in conjunction with certain other codes.

6. Documentation requirements

To support a claim for CPT 93566, the provider must document the following information:

  • Patient’s diagnosis of congenital heart disease
  • Specific primary procedure code
  • Date of the procedure
  • Start and end time of the procedure
  • Details of the injection procedure, including the use of fluoroscopic guidance
  • Supervision of image collection
  • Interpretation of the images
  • Report of findings

7. Billing guidelines

When billing for CPT 93566, ensure that the provider performs the injection procedure during cardiac catheterization for selective right ventricular or right atrial angiography. This code should be listed separately in addition to the primary procedure code. Do not report CPT 93566 in conjunction with certain other codes. It is important to follow specific billing guidelines provided by payers to ensure accurate reimbursement.

8. Historical information

CPT 93566 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 right ventricular angiography in a patient with congenital heart disease.
  2. A provider performs an injection procedure during cardiac catheterization for selective right atrial angiography in a patient with congenital heart disease.
  3. A provider introduces a catheter into the right ventricle and injects dye to assess heart function in a patient with congenital heart disease.
  4. A provider introduces a catheter into the right 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 during cardiac catheterization for selective right ventricular or right atrial angiography in a patient with congenital heart disease.

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