How To Use CPT Code 93567

CPT 93567 describes the injection procedure during cardiac catheterization for supravalvular aortography. 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 93567?

CPT 93567 can be used to describe the injection procedure performed during cardiac catheterization for supravalvular aortography. This code is used when a healthcare provider passes a catheter into the aorta and injects dye to evaluate heart function in a patient with or without 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 93567 is: ‘Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure).’ This code should be used in conjunction with other relevant codes for the primary procedure.

3. Procedure

1. During a cardiac catheterization, the healthcare provider introduces a catheter into the aorta under fluoroscopic guidance.
2. The provider injects dye to visualize the valves above the aorta and assess their function.
3. Throughout the procedure, the provider supervises the collection of images to ensure accurate visualization.
4. After the procedure, the provider interprets the images and prepares a report detailing their findings.

4. Qualifying circumstances

CPT 93567 is used for patients undergoing cardiac catheterization for supravalvular aortography. This procedure is typically performed to evaluate heart function in patients with or without congenital heart disease. The provider must ensure that the patient meets the necessary criteria for cardiac catheterization and that the procedure is medically necessary.

5. When to use CPT code 93567

CPT code 93567 should be used when the healthcare provider performs the injection procedure during cardiac catheterization for supravalvular aortography. It is important to note that this code should be reported in addition to the primary procedure code. It is essential to review the documentation and determine if the use of CPT code 93567 is appropriate based on the specific circumstances of the procedure.

6. Documentation requirements

To support a claim for CPT code 93567, the healthcare provider must document the following information:

• Indication for the cardiac catheterization and the need for supravalvular aortography
• Details of the injection procedure, including the type and amount of dye used
• Supervision of image collection during the procedure
• Interpretation of the images and findings
• Preparation of a report summarizing the procedure and results

7. Billing guidelines

When billing for CPT code 93567, it is important to ensure that the procedure meets the necessary criteria and is medically necessary. This code should be reported in addition to the primary procedure code. It is crucial to review the documentation and accurately report the services provided. Additionally, it is important to follow any specific billing guidelines provided by the payer to ensure proper reimbursement.

8. Historical information

CPT code 93567 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 healthcare provider performs cardiac catheterization on a patient with suspected congenital heart disease. During the procedure, the provider injects dye for supravalvular aortography and interprets the images to assess the function of the valves above the aorta.
2. In another case, a patient without congenital heart disease undergoes cardiac catheterization for evaluation of heart function. The provider performs supravalvular aortography by injecting dye and supervises the collection of images for interpretation and reporting.
3. A healthcare provider performs cardiac catheterization on a patient with a known heart condition. During the procedure, the provider injects dye for supravalvular aortography and carefully interprets the images to assess the function of the valves above the aorta.
4. In a different scenario, a patient without any heart disease symptoms undergoes cardiac catheterization for preventive screening. The provider performs supravalvular aortography by injecting dye and supervises the collection of images for interpretation and reporting.
5. A healthcare provider performs cardiac catheterization on a patient with a history of congenital heart disease. During the procedure, the provider injects dye for supravalvular aortography and interprets the images to assess the function of the valves above the aorta.
6. In another case, a patient without any heart-related symptoms undergoes cardiac catheterization for diagnostic purposes. The provider performs supravalvular aortography by injecting dye and carefully interprets the images to assess the function of the valves above the aorta.
7. A healthcare provider performs cardiac catheterization on a patient with suspected congenital heart disease. During the procedure, the provider injects dye for supravalvular aortography and supervises the collection of images for interpretation and reporting.
8. In a different scenario, a patient without any heart disease symptoms undergoes cardiac catheterization for routine evaluation. The provider performs supravalvular aortography by injecting dye and interprets the images to assess the function of the valves above the aorta.