How To Use CPT Code 93600

CPT 93600 describes the recording of the electrical activity in the heart’s bundle of His. 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 93600?

CPT 93600 can be used to describe the recording of the electrical activity in the heart’s bundle of His. This code is used when a provider places an electrode in the bundle of His and records the electrical activity in that area.

2. Official Description

The official description of CPT code 93600 is: ‘The provider makes a recording of the electrical activity in the heart that controls the heartbeat, in the area called the bundle of His.’

3. Procedure

1. The provider prepares the patient and places electrocardiogram leads on the patient’s arms and legs.
2. A small incision is made over the femoral vein in the groin.
3. A catheter is advanced through the vein up into the heart, with fluoroscopic guidance to visualize the area.
4. A sensor at the end of the catheter measures the electrical activity in the bundle of His.
5. The catheter is withdrawn and pressure is applied to the wound.

4. Qualifying circumstances

CPT 93600 is performed when the provider needs to assess the electrical activity in the heart’s bundle of His. This may be necessary to detect abnormalities in the heart rhythm or to evaluate the conduction of electrical impulses in specific areas of the heart.

5. When to use CPT code 93600

CPT code 93600 should be used when the provider records the electrical activity in the heart’s bundle of His. It is important to note that this code should not be reported in conjunction with codes 93619, 93620, 93653, 93654, or 93656.

6. Documentation requirements

To support a claim for CPT 93600, the provider must document the following information:

• Details of the procedure, including the location of the electrode placement
• Date of the procedure
• Start and end time of the procedure
• Any relevant findings or abnormalities observed during the recording
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 93600, ensure that the procedure involves the recording of the electrical activity in the heart’s bundle of His. It is important to note that this code should not be reported with codes 93619, 93620, 93653, 93654, or 93656.

8. Historical information

CPT 93600 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A provider records the electrical activity in the heart’s bundle of His to assess the conduction of electrical impulses.
2. During a procedure, the provider places an electrode in the bundle of His and records the electrical activity to detect any abnormalities in the heart rhythm.
3. A patient undergoes a recording of the electrical activity in the bundle of His to evaluate the effectiveness of previous treatments.
4. The provider performs a procedure to assess the electrical activity in the heart’s bundle of His and records the findings for further analysis.
5. During a diagnostic evaluation, the provider records the electrical activity in the bundle of His to determine the cause of the patient’s arrhythmia.
6. A patient with a history of heart rhythm abnormalities undergoes a recording of the electrical activity in the bundle of His to monitor their condition.
7. The provider performs a procedure to assess the conduction of electrical impulses in the heart’s bundle of His and records the results for future reference.
8. A patient with symptoms of irregular heartbeat undergoes a recording of the electrical activity in the bundle of His to aid in diagnosis and treatment planning.
9. During a cardiac evaluation, the provider records the electrical activity in the heart’s bundle of His to assess the patient’s overall heart function.
10. A provider performs a procedure to record the electrical activity in the bundle of His as part of a comprehensive electrophysiologic study.