How To Use CPT Code 93624

CPT 93624 describes the follow-up study of the electrical activity of the heart using pacing and recording to test the effectiveness of therapy, including 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 93624?

CPT 93624 can be used to report a follow-up study of the electrical activity of the heart. This procedure involves regulating the heart rhythm through electrical stimulation and recording the heart’s electrical activity using an electrode placed inside the heart. The purpose of this study is to test the effectiveness of therapy, such as an ablation procedure, and may include the induction or attempted induction of arrhythmia.

2. Official Description

The official description of CPT code 93624 is: ‘Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia.’

3. Procedure

1. The provider begins by preparing and anesthetizing the patient.
2. A sheath, or port, is inserted through the femoral vein in the groin.
3. An electrode catheter is threaded through the venous sheath under fluoroscopic guidance and advanced into the right or left atrium, His bundle, and right ventricle.
4. Another catheter is inserted and positioned in the left ventricle in a similar manner.
5. The provider performs left ventricle pacing and recording.
6. The provider uses the catheter to initiate an abnormal heart rhythm and records the spread of the electrical signal during the abnormal rhythm.
7. The provider attempts to localize the source of the abnormal heart rhythm.
8. Once the pacing and recording are complete, the catheters are withdrawn, and the venous sheath is removed.

4. Qualifying circumstances

CPT 93624 is performed as a follow-up study on patients who have previously undergone corrective therapy for arrhythmias. The procedure is typically incidental to an ablation and is used to test the effectiveness of the therapy. It is important to note that CPT 93624 should not be reported separately if performed during the same session as an ablation procedure.

5. When to use CPT code 93624

CPT code 93624 should be used when conducting a follow-up study of the electrical activity of the heart to test the effectiveness of therapy. It is appropriate to report this code when the provider performs pacing and recording, including the induction or attempted induction of arrhythmia, as part of the follow-up study.

6. Documentation requirements

To support a claim for CPT 93624, the provider must document the following information:

• Patient’s history of corrective therapy for arrhythmias
• Details of the follow-up study, including the use of pacing and recording
• Induction or attempted induction of arrhythmia
• Results of the study and any findings related to the effectiveness of therapy
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 93624, ensure that the procedure is performed as a follow-up study on a patient who has previously undergone corrective therapy for arrhythmias. It is important to note that if CPT 93624 is performed in a separate operative session on the same day as an ablation procedure, it may be reported with modifier 59 to indicate that the study had to be performed separately. However, in most cases, the follow-up study is performed after an ablation and is incidental to the procedure, so it should not be reported separately.

8. Historical information

CPT 93624 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 patient who previously underwent ablation therapy for arrhythmias undergoes a follow-up study of the electrical activity of the heart to test the effectiveness of the treatment.
2. Following corrective therapy for arrhythmias, a patient undergoes a pacing and recording procedure to evaluate the success of the therapy.
3. A provider performs a follow-up study on a patient who has previously undergone ablation for arrhythmias, including the induction of arrhythmia, to assess the effectiveness of the treatment.
4. After receiving corrective therapy for arrhythmias, a patient undergoes a follow-up study to determine the impact of the treatment on the electrical activity of the heart.
5. A follow-up study is conducted on a patient who has previously undergone ablation therapy for arrhythmias to evaluate the effectiveness of the treatment and induce arrhythmia if necessary.
6. Following corrective therapy for arrhythmias, a patient undergoes a pacing and recording procedure to assess the success of the treatment and identify any remaining abnormalities in the heart’s electrical activity.
7. A provider performs a follow-up study on a patient who has previously undergone ablation for arrhythmias, including the attempted induction of arrhythmia, to evaluate the efficacy of the treatment.
8. After receiving corrective therapy for arrhythmias, a patient undergoes a follow-up study to monitor the long-term effects of the treatment on the electrical activity of the heart.
9. A follow-up study is conducted on a patient who has previously undergone ablation therapy for arrhythmias to assess the ongoing effectiveness of the treatment and identify any recurrent abnormalities in the heart’s electrical activity.
10. Following corrective therapy for arrhythmias, a patient undergoes a pacing and recording procedure to evaluate the sustained success of the treatment and detect any new or persistent irregularities in the heart’s electrical activity.