How To Use CPT Code 93622

CPT 93622 describes the comprehensive electrophysiologic evaluation procedure that includes the insertion and repositioning of multiple electrode catheters with the induction or attempted induction of arrhythmia. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 93622?

CPT 93622 can be used to describe a comprehensive electrophysiologic evaluation procedure that involves the insertion and repositioning of multiple electrode catheters. This procedure is performed to assess if an arrhythmia or irregular heartbeat is the cause of the patient’s clinical symptoms and to identify the mechanism of the cardiac arrhythmia. Additionally, this code includes left ventricular pacing and recording, which is performed separately from the primary procedure.

2. Official Description

The official description of CPT code 93622 is: ‘Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure).’ It is important to note that this code should be used in conjunction with other relevant codes, such as 93620, 93653, and 93656. It should not be reported with code 93654. For noninvasive arrhythmia localization and mapping, code 0745T should be used.

3. Procedure

  1. After the initial induction of arrhythmia with pacing and recording of the right side of the heart and bundle of His, the provider inserts an additional catheter through a venous sheath.
  2. The provider moves the catheter under fluoroscopic guidance to the left ventricle for pacing and recording.
  3. The provider uses the catheter to transfer electrical signals to the heart tissue, initiating abnormal heart rhythm.
  4. The provider records the spread of the electrical signal during abnormal heart rhythm and attempts to localize the source of the abnormal heart rhythm.
  5. Once the pacing and recording are complete, the provider withdraws the catheter and removes the venous sheath.

4. Qualifying circumstances

CPT 93622 is performed when a comprehensive electrophysiologic evaluation is necessary to determine the cause of a patient’s clinical symptoms related to arrhythmia. The patient must be appropriately prepped and anesthetized for the procedure. The provider must insert multiple electrode catheters and perform left ventricular pacing and recording as part of the evaluation. This procedure is typically performed by a qualified healthcare professional with expertise in electrophysiology.

5. When to use CPT code 93622

CPT code 93622 should be used when a comprehensive electrophysiologic evaluation is performed, including the insertion and repositioning of multiple electrode catheters and left ventricular pacing and recording. It is important to ensure that the primary procedure code is also reported in conjunction with CPT 93622. This code should not be reported without an appropriate primary code.

6. Documentation requirements

To support a claim for CPT 93622, the healthcare professional must document the following information:

  • Patient’s clinical symptoms and the need for a comprehensive electrophysiologic evaluation
  • Details of the procedure, including the insertion and repositioning of multiple electrode catheters and left ventricular pacing and recording
  • Date and duration of the procedure
  • Specific findings during the evaluation, such as the identification of arrhythmia or abnormal heart rhythm
  • Any additional procedures or interventions performed during the evaluation
  • Signature of the healthcare professional performing the procedure

7. Billing guidelines

When billing for CPT 93622, ensure that the procedure meets the criteria for a comprehensive electrophysiologic evaluation, including the insertion and repositioning of multiple electrode catheters and left ventricular pacing and recording. It is important to report this code in conjunction with the appropriate primary procedure code, such as 93620, 93653, or 93656. Modifier 26 should be appended if reporting only the professional component, and modifier TC should be appended if reporting only the technical component. However, if a single provider renders both the professional and technical components, modifiers may not be necessary.

8. Historical information

CPT 93622 was added to the Current Procedural Terminology system on January 1, 1990. Since its addition, there have been historical changes to the code, including updates to the description and the inclusion of left ventricular pacing and recording.

9. Examples

  1. A cardiologist performing a comprehensive electrophysiologic evaluation, including the insertion and repositioning of multiple electrode catheters and left ventricular pacing and recording, to assess the cause of a patient’s recurrent arrhythmia.
  2. An electrophysiologist conducting a comprehensive electrophysiologic evaluation, including the insertion and repositioning of multiple electrode catheters and left ventricular pacing and recording, to determine the mechanism of a patient’s irregular heartbeat.

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