How To Use CPT Code 93613

CPT 93613 describes the procedure of intracardiac electrophysiologic 3-dimensional mapping, which involves the use of multiple electrodes to create a three-dimensional map of the electrical activity in the heart. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 93613?

CPT 93613 is a code used to describe the procedure of intracardiac electrophysiologic 3-dimensional mapping. This procedure involves inducing a rapid heartbeat and using multiple electrodes to produce a three-dimensional map of the electrical activity in the heart. The purpose of this mapping is to identify the origin of any irregular or abnormal heart rhythms, known as arrhythmias.

2. Official Description

The official description of CPT code 93613 is: ‘Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure).’ This code is an add-on code and should be reported in conjunction with an appropriate primary code. It is important to review the notes following the descriptor to ensure accurate reporting.

3. Procedure

1. During the procedure, the patient is appropriately prepped and anesthetized.
2. The provider places a catheter with a series of electrodes at its tip in three locations: one in the upper arm, one in the left groin, and one in the right groin.
3. The catheters are positioned in the right ventricle, left ventricle, and at the bundle of His.
4. The provider maps the endocardial surface in three dimensions from within the chambers of the heart.
5. The mapping catheters are moved from point to point to record endocardial activation during tachycardia or during sinus rhythm.
6. Abnormalities in the electrical signals are identified through the mapping process.
7. Additional mapping may be performed when new arrhythmias occur and at the end of the procedure.

4. Qualifying circumstances

CPT 93613 is performed on patients with irregular or abnormal heart rhythms, known as arrhythmias. The procedure is used to detect abnormalities in the heart rhythm and identify the origin of these irregularities. It is important to note that CPT 93613 should not be reported in conjunction with certain other codes, such as 93609 and 93654. Providers should review the notes following the descriptor to ensure accurate reporting.

5. When to use CPT code 93613

CPT code 93613 should be used when performing intracardiac electrophysiologic 3-dimensional mapping as part of a primary procedure. It is an add-on code and should be reported in conjunction with an appropriate primary code. Providers should review the notes following the descriptor to ensure accurate reporting and to determine which primary codes are acceptable for use with CPT 93613.

6. Documentation requirements

To support a claim for CPT 93613, providers must document the following information:

• Details of the procedure performed, including the use of multiple electrodes and the creation of a three-dimensional map of the heart’s electrical activity
• Specific locations where the electrodes were placed, such as the upper arm, left groin, and right groin
• Mapping of the endocardial surface in three dimensions
• Recordings of endocardial activation during tachycardia or sinus rhythm
• Identification of any abnormalities in the electrical signals
• Additional mapping performed, if applicable

7. Billing guidelines

When billing for CPT 93613, providers should ensure that the procedure is performed as part of a primary procedure. It is an add-on code and should be reported in conjunction with an appropriate primary code. Providers should review the notes following the descriptor to determine which primary codes are acceptable for use with CPT 93613. It is important to accurately report the procedure and follow any additional guidelines provided by payers.

8. Historical information

CPT 93613 was added to the Current Procedural Terminology system on January 1, 2002. There have been no updates to the code since its addition.

9. Examples

1. A patient with a history of arrhythmias undergoes intracardiac electrophysiologic 3-dimensional mapping to identify the origin of their irregular heart rhythms.
2. During a cardiac ablation procedure, the provider utilizes intracardiac electrophysiologic 3-dimensional mapping to guide the placement of the ablation catheter.
3. A patient with recurrent tachycardia undergoes intracardiac electrophysiologic 3-dimensional mapping to determine the source of their rapid heart rhythm.
4. As part of a diagnostic workup, a patient with suspected arrhythmias undergoes intracardiac electrophysiologic 3-dimensional mapping to assess the electrical activity of their heart.
5. During a cardiac surgery procedure, the provider performs intracardiac electrophysiologic 3-dimensional mapping to ensure the proper placement of cardiac devices.
6. A patient with a history of heart disease undergoes intracardiac electrophysiologic 3-dimensional mapping to evaluate the effectiveness of their current treatment plan.
7. As part of a research study, a group of patients with various arrhythmias undergo intracardiac electrophysiologic 3-dimensional mapping to gather data on the electrical activity of their hearts.
8. A patient with a family history of arrhythmias undergoes intracardiac electrophysiologic 3-dimensional mapping as a preventive measure to assess their risk of developing irregular heart rhythms.