How To Use CPT Code 93595

CPT 93595 describes the left heart catheterization procedure for patients with congenital heart defects, including the use of imaging guidance to advance the catheter to the target zone. 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 93595?

CPT 93595 can be used to describe the left heart catheterization procedure performed on patients with congenital heart defects. During this procedure, a catheter is navigated through the blood vessels to the heart, specifically the left side, for evaluation. The procedure may involve the use of imaging guidance, such as fluoroscopy, to assist in advancing the catheter to the target zone.

2. Official Description

The official description of CPT code 93595 is: ‘Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections.’

3. Procedure

1. The patient is appropriately prepped and anesthetized.
2. A small incision is made in the arm or groin to access the target vessel.
3. A catheter is introduced into the target vessel.
4. Imaging guidance, such as fluoroscopy, is used to advance the catheter through the blood vessels to the target zone of the left heart.
5. The catheter is placed in the left atrium, left ventricle, or both, for evaluation.
6. Hemodynamic evaluation may be performed to study the blood flow.
7. The catheter and any other instruments are removed, and pressure is applied at the access site to complete the procedure.

4. Qualifying circumstances

CPT 93595 is used for left heart catheterization procedures performed on patients with congenital heart defects. This includes cases where the right ventricle or atrium connects to the aorta due to congenital heart disease. The procedure may involve the evaluation of normal or abnormal native connections within the heart.

5. When to use CPT code 93595

CPT code 93595 should be used when performing left heart catheterization procedures on patients with congenital heart defects. It is important to review the code descriptors and guidelines carefully to ensure accurate reporting. This code is appropriate regardless of whether the patient has normal or abnormal native connections within the heart.

6. Documentation requirements

To support a claim for CPT 93595, the following documentation should be included:

• Patient’s diagnosis of congenital heart defect(s)
• Description of the left heart catheterization procedure performed
• Details of any imaging guidance used, such as fluoroscopy
• Documentation of the target zone reached by the catheter
• Any hemodynamic evaluation performed
• Procedure completion details, including catheter and instrument removal
• Signature of the proceduralist

7. Billing guidelines

When billing for CPT 93595, ensure that the procedure meets the criteria for left heart catheterization in patients with congenital heart defects. Review the guidelines for any separately reportable services, such as left ventriculography or left atrial angiography. It is important to accurately report the procedure and any additional services provided.

8. Historical information

CPT 93595 was added to the Current Procedural Terminology system on January 1, 2022. There have been no updates to the code since its addition.

9. Examples

1. A patient with a congenital heart defect undergoes left heart catheterization to evaluate the connection between the left ventricle and the aorta.
2. Using imaging guidance, the proceduralist advances the catheter to the target zone in a patient with abnormal native connections within the heart.
3. A left heart catheterization procedure is performed on a patient with a congenital heart defect, involving the evaluation of blood flow in the left atrium.
4. The catheter is placed in the left ventricle for hemodynamic evaluation in a patient with a congenital heart defect.
5. A patient with a congenital heart defect undergoes left heart catheterization to assess the connection between the left atrium and the aorta.
6. Using fluoroscopy, the proceduralist guides the catheter to the target zone in a patient with normal native connections within the heart.
7. A left heart catheterization procedure is performed on a patient with a congenital heart defect, involving the evaluation of blood flow in the left ventricle.
8. The catheter is placed in the left atrium and left ventricle for evaluation in a patient with abnormal native connections within the heart.
9. A patient with a congenital heart defect undergoes left heart catheterization to assess the connection between the left ventricle and the aorta.
10. Using imaging guidance, the proceduralist advances the catheter to the target zone in a patient with normal native connections within the heart.