How To Use CPT Code 93568

CPT 93568 describes the injection procedure during cardiac catheterization for nonselective pulmonary arterial 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 93568?

CPT 93568 can be used to describe the injection procedure performed during cardiac catheterization for nonselective pulmonary arterial angiography. This code is used when the provider passes a catheter into the pulmonary artery and injects dye to visualize the artery and assess blood flow. The provider supervises the imaging, interprets the images, and makes a report of the findings.

2. Official Description

The official description of CPT code 93568 is: ‘Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure).’ This code should be used in conjunction with specific primary procedure codes listed in the notes section.

3. Procedure

1. During a cardiac catheterization procedure, the provider introduces a catheter into the pulmonary artery.
2. The provider injects dye and views X-ray images of the area on a monitor to observe how the dye moves through the lungs’ blood vessels.
3. The provider supervises the imaging necessary for the service, interprets the images, and makes a report of the findings.

4. Qualifying circumstances

CPT 93568 is performed when a patient undergoes a cardiac catheterization procedure and there is a need to visualize the pulmonary artery through nonselective angiography. This procedure is typically performed in conjunction with other primary procedures listed in the notes section. It is important to note that this code should not be reported in conjunction with code 0632T.

5. When to use CPT code 93568

CPT code 93568 should be used when a provider performs an injection procedure during cardiac catheterization for nonselective pulmonary arterial angiography. This code is appropriate when the provider introduces a catheter into the pulmonary artery and injects dye to visualize the artery and assess blood flow. It is important to report this code in conjunction with the appropriate primary procedure codes listed in the notes section.

6. Documentation requirements

To support a claim for CPT 93568, the provider must document the following information:

• Indication for the cardiac catheterization procedure
• Specific primary procedure code performed in conjunction with CPT 93568
• Date and time of the procedure
• Details of the injection procedure, including the introduction of the catheter into the pulmonary artery and the injection of dye
• Supervision and interpretation of the imaging
• Report of the findings

7. Billing guidelines

When billing for CPT 93568, ensure that the procedure is performed in conjunction with a primary procedure that involves cardiac catheterization. Use the appropriate primary procedure code listed in the notes section. Do not report CPT 93568 in conjunction with code 0632T. It is important to follow the specific billing guidelines provided for each primary procedure code to ensure accurate reporting and reimbursement.

8. Historical information

CPT 93568 was added to the Current Procedural Terminology system on January 1, 2011. There was a code change on January 1, 2023, where the description was updated to include ‘pulmonary angiography’ instead of ‘pulmonary arterial angiography.’

9. Examples

1. A provider performing an injection procedure during cardiac catheterization for nonselective pulmonary arterial angiography in a patient with suspected pulmonary artery disease.
2. A patient undergoing a cardiac catheterization procedure for evaluation of congenital heart defects, with the provider performing an injection procedure for nonselective pulmonary arterial angiography.
3. A provider performing an injection procedure during cardiac catheterization for nonselective pulmonary arterial angiography in a patient with suspected pulmonary embolism.
4. A patient undergoing a cardiac catheterization procedure for assessment of pulmonary hypertension, with the provider performing an injection procedure for nonselective pulmonary arterial angiography.
5. A provider performing an injection procedure during cardiac catheterization for nonselective pulmonary arterial angiography in a patient with suspected pulmonary vascular disease.
6. A patient undergoing a cardiac catheterization procedure for evaluation of chronic thromboembolic pulmonary hypertension, with the provider performing an injection procedure for nonselective pulmonary arterial angiography.
7. A provider performing an injection procedure during cardiac catheterization for nonselective pulmonary arterial angiography in a patient with suspected pulmonary arteriovenous malformation.
8. A patient undergoing a cardiac catheterization procedure for assessment of pulmonary valve stenosis, with the provider performing an injection procedure for nonselective pulmonary arterial angiography.
9. A provider performing an injection procedure during cardiac catheterization for nonselective pulmonary arterial angiography in a patient with suspected pulmonary artery aneurysm.
10. A patient undergoing a cardiac catheterization procedure for evaluation of pulmonary artery sarcoma, with the provider performing an injection procedure for nonselective pulmonary arterial angiography.