How To Use CPT Code 93582

CPT 93582 describes the percutaneous transcatheter closure of a patent ductus arteriosus (PDA) using a catheter placed through the skin and maneuvered through the vascular system. 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 93582?

CPT 93582 can be used to describe the percutaneous transcatheter closure of a patent ductus arteriosus (PDA) using a catheter placed through the skin and maneuvered through the vascular system. This procedure is performed to close the PDA, which is a congenital heart defect that causes abnormal blood flow between the pulmonary artery and aorta. The closure is achieved by placing an occluding device, such as a coil, in the proper location to block the flow of blood through the PDA.

2. Official Description

The official description of CPT code 93582 is: ‘Percutaneous transcatheter closure of patent ductus arteriosus, includes congenital right and left heart catheterization, catheter placement in the aorta, and aortic arch angiography, when performed.’

3. Procedure

1. The patient is prepped and sedated for the procedure.
2. A small incision is made for vascular access.
3. An exchange guidewire and an introducer instrument are advanced through the vessels to the patent ductus arteriosus (PDA).
4. Heparin may be administered to prevent blood clotting.
5. A sheath is placed and a catheter delivering the occluding device is maneuvered into the sheath.
6. The catheter is carefully guided to the proper location to place the occluding device, such as a coil.
7. Aortography is performed to confirm the positioning and function of the occluding device.
8. The instruments are withdrawn and hemostasis of the access site is achieved.