How To Use CPT Code 93619

CPT 93619 describes the comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, and His bundle recording. 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 93619?

CPT 93619 can be used to describe a comprehensive electrophysiologic evaluation that involves the insertion and repositioning of multiple electrode catheters in the right atrium, His bundle region, and right ventricle. This evaluation is performed to assess and evaluate abnormal heart rhythm disturbances. The code represents both the technical and professional components of the service.

2. Official Description

The official description of CPT code 93619 is: ‘Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia.’

3. Procedure

1. The provider prepares the patient and administers local anesthesia.
2. Using fluoroscopic guidance, the provider inserts multiple catheter electrodes through a venous site, typically the femoral veins, into the right atrium, His bundle, and right ventricle.
3. The catheters are connected to an electrical pacing device, which can transmit electrical impulses to the atrium and ventricle.
4. The electrodes at the tip of the catheter record the heart’s electrical activity in the right atrium, ventricle, and His bundle.
5. The provider evaluates and analyzes the recorded electrograms to assess any abnormal heart rhythm disturbances.
6. The provider repositions the catheters as necessary to obtain accurate recordings.

4. Qualifying circumstances

CPT 93619 is used for patients who require a comprehensive electrophysiologic evaluation to assess and evaluate abnormal heart rhythm disturbances. The procedure involves the insertion and repositioning of multiple electrode catheters in the right atrium, His bundle region, and right ventricle. It is important to note that this code should not be reported in conjunction with other specific codes related to electrophysiologic evaluations.

5. When to use CPT code 93619

CPT code 93619 should be used when a comprehensive electrophysiologic evaluation is performed without the induction or attempted induction of arrhythmia. This code represents both the technical and professional components of the service. It is important to review the documentation and ensure that the specific criteria for CPT 93619 are met before reporting this code.

6. Documentation requirements

To support a claim for CPT 93619, the provider must document the following information:

• Patient’s diagnosis and the need for a comprehensive electrophysiologic evaluation
• Specific details of the procedure, including the insertion and repositioning of multiple electrode catheters
• Date and duration of the procedure
• Recorded electrograms and analysis of the heart’s electrical activity
• Any repositioning of catheters during the procedure
• Signature of the provider performing the service

7. Billing guidelines

When billing for CPT 93619, ensure that the comprehensive electrophysiologic evaluation is performed without the induction or attempted induction of arrhythmia. This code represents both the technical and professional components of the service. It is important to review the documentation and follow the specific guidelines for reporting CPT 93619. Do not report this code in conjunction with other specific codes related to electrophysiologic evaluations.

8. Historical information

CPT 93619 was added to the Current Procedural Terminology system on January 1, 1994. There have been no updates or changes to the code since its addition.

9. Examples

1. A cardiologist performs a comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, and His bundle recording for a patient with suspected arrhythmia.
2. A patient with a history of abnormal heart rhythm undergoes a comprehensive electrophysiologic evaluation to assess the underlying cause of their condition.
3. A provider inserts and repositions multiple electrode catheters to evaluate and analyze the heart’s electrical activity in a patient with unexplained palpitations.
4. A comprehensive electrophysiologic evaluation is performed on a patient prior to the placement of a pacemaker to assess the need for intervention.
5. A patient with a family history of arrhythmia undergoes a comprehensive electrophysiologic evaluation as a preventive measure.
6. A provider performs a comprehensive electrophysiologic evaluation to assess the effectiveness of a patient’s current medication regimen in managing their abnormal heart rhythm.
7. A comprehensive electrophysiologic evaluation is performed on a patient with a known heart condition to monitor any changes in their heart’s electrical activity.
8. A provider repositions multiple electrode catheters during a comprehensive electrophysiologic evaluation to obtain accurate recordings of the heart’s electrical activity.
9. A patient with recurrent episodes of fainting undergoes a comprehensive electrophysiologic evaluation to determine if an underlying arrhythmia is the cause.
10. A comprehensive electrophysiologic evaluation is performed on a patient with unexplained chest pain to rule out any abnormal heart rhythm disturbances.