How To Use CPT Code 93620

CPT 93620 describes the comprehensive electrophysiologic evaluation, including the insertion and repositioning of multiple electrode catheters, with the induction or attempted induction of arrhythmia. 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 93620?

CPT 93620 can be used to describe a comprehensive electrophysiologic evaluation performed by a healthcare provider. This evaluation involves the insertion and repositioning of multiple electrode catheters into the high right atrium, His bundle region, and right ventricle. The provider then performs right atrial pacing and recording, His bundle recording, and right ventricular pacing and recording. Additionally, the provider induces or attempts to induce an arrhythmia during the evaluation.

2. Official Description

The official description of CPT code 93620 is: ‘Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording.’

3. Procedure

1. The healthcare provider injects a local anesthetic and inserts multiple electrode-tipped catheters into the high right atrium, His bundle region, and right ventricle.
2. The provider performs right atrial pacing and recording, His bundle recording, and right ventricular pacing and recording.
3. The provider induces or attempts to induce an arrhythmia during the evaluation.

4. Qualifying circumstances

CPT 93620 is performed on patients who require a comprehensive electrophysiologic evaluation. This evaluation is typically done to monitor and diagnose abnormal heart rhythm disturbances. The patient must undergo the insertion and repositioning of multiple electrode catheters, with the induction or attempted induction of arrhythmia. The evaluation is performed by a qualified healthcare provider.

5. When to use CPT code 93620

CPT code 93620 should be used when a comprehensive electrophysiologic evaluation is performed, including the insertion and repositioning of multiple electrode catheters, with the induction or attempted induction of arrhythmia. This code is appropriate when the evaluation involves right atrial pacing and recording, right ventricular pacing and recording, and His bundle recording.

6. Documentation requirements

To support a claim for CPT 93620, the healthcare provider must document the following information:

• Details of the comprehensive electrophysiologic evaluation performed
• Specific locations where the multiple electrode catheters were inserted and repositioned
• Documentation of right atrial pacing and recording, right ventricular pacing and recording, and His bundle recording
• Induction or attempted induction of arrhythmia
• Any additional relevant findings or observations during the evaluation
• Signature of the healthcare provider performing the evaluation

7. Billing guidelines

When billing for CPT 93620, ensure that the comprehensive electrophysiologic evaluation includes the insertion and repositioning of multiple electrode catheters, with the induction or attempted induction of arrhythmia. This code should not be reported in conjunction with other specific codes listed in the notes. It is important to follow the documentation guidelines and append the appropriate modifiers if reporting only the professional or technical component of the service.

8. Historical information

CPT 93620 was added to the Current Procedural Terminology system on January 1, 1990. There have been historical changes and updates to the code since its addition, including modifications to the description and the addition of related codes.

9. Examples

1. A healthcare provider performs a comprehensive electrophysiologic evaluation on a patient with a history of irregular heart rhythm, inserting multiple electrode catheters and inducing an arrhythmia.
2. During a comprehensive electrophysiologic evaluation, a provider records electrograms from the right atrium, right ventricle, and His bundle region, while attempting to induce an arrhythmia.
3. A patient undergoes a comprehensive electrophysiologic evaluation, during which the provider performs right atrial pacing and recording, right ventricular pacing and recording, and His bundle recording, with the induction of arrhythmia.
4. A healthcare provider inserts multiple electrode catheters into the high right atrium, His bundle region, and right ventricle, and performs a comprehensive electrophysiologic evaluation, inducing an arrhythmia for diagnostic purposes.
5. During a comprehensive electrophysiologic evaluation, a provider repositions multiple electrode catheters and performs right atrial pacing and recording, right ventricular pacing and recording, and His bundle recording, while attempting to induce an arrhythmia.
6. A patient undergoes a comprehensive electrophysiologic evaluation, during which the provider inserts and repositions multiple electrode catheters, performs right atrial pacing and recording, right ventricular pacing and recording, and His bundle recording, and induces an arrhythmia.
7. During a comprehensive electrophysiologic evaluation, a provider inserts multiple electrode catheters into the high right atrium, His bundle region, and right ventricle, and performs right atrial pacing and recording, right ventricular pacing and recording, and His bundle recording, while attempting to induce an arrhythmia.
8. A healthcare provider performs a comprehensive electrophysiologic evaluation on a patient, inserting multiple electrode catheters and inducing an arrhythmia, while recording electrograms from the right atrium, right ventricle, and His bundle region.