How To Use CPT Code 93662

CPT 93662 describes the use of intracardiac echocardiography during therapeutic or diagnostic interventions, including imaging supervision and interpretation. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 93662?

CPT 93662 can be used to describe the use of intracardiac echocardiography during therapeutic or diagnostic interventions. This code is used when a provider performs imaging of the structures inside the heart using ultrasound while performing a procedure. Intracardiac echocardiography allows for accurate evaluation of intracardiac structures and is commonly used during interventional procedures such as stent placement or intracardiac catheter ablation.

2. Official Description

The official description of CPT code 93662 is: ‘Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure).’ This code should be used in conjunction with the appropriate primary procedure code.

3. Procedure

1. During a therapeutic or diagnostic intervention, the provider introduces a small ultrasound probe into the femoral vein in the groin.
2. The provider threads the probe into the area of the heart that needs to be imaged.
3. Intracardiac echocardiography is performed to visualize the structures inside the heart using ultrasound.
4. The provider uses the imaging to guide and supervise the therapeutic or diagnostic intervention.
5. The provider interprets the images obtained from the intracardiac echocardiography to aid in the procedure.

4. Qualifying circumstances

CPT 93662 is used when intracardiac echocardiography is performed during therapeutic or diagnostic interventions. This procedure is typically performed to ensure the efficiency and safety of the intervention. It is commonly used during procedures such as stent placement in the heart or intracardiac catheter ablation. The provider must use intracardiac echocardiography to visualize the structures inside the heart and guide the intervention.

5. When to use CPT code 93662

CPT code 93662 should be used when intracardiac echocardiography is performed during a therapeutic or diagnostic intervention. It should not be reported without an appropriate primary procedure code. This code is used to indicate the additional service of intracardiac echocardiography during the intervention.

6. Documentation requirements

To support a claim for CPT 93662, the provider must document the following information:

• The primary procedure code performed
• The need for intracardiac echocardiography during the intervention
• The specific structures imaged using intracardiac echocardiography
• The interpretation of the images obtained
• Any additional details relevant to the use of intracardiac echocardiography during the intervention

7. Billing guidelines

When billing for CPT 93662, ensure that the procedure meets the qualifying circumstances and is performed in conjunction with an appropriate primary procedure. If reporting only the professional component, append modifier 26 to the code. If reporting only the technical component, append modifier TC to the code. Do not append a professional or technical modifier when reporting a global service in which one provider renders both components.

8. Historical information

CPT 93662 was added to the Current Procedural Terminology system on January 1, 2001. There have been no updates to the code since its addition.

9. Examples

1. A provider performs intracardiac echocardiography during a stent placement procedure in the heart.
2. Intracardiac echocardiography is used during an intracardiac catheter ablation procedure to guide the provider in targeting an arrhythmogenic focus.
3. During a diagnostic intervention, the provider uses intracardiac echocardiography to visualize the structures inside the heart and assess any abnormalities.
4. Intracardiac echocardiography is performed during a transcatheter closure procedure for a congenital septal defect.
5. The provider uses intracardiac echocardiography during a transcatheter mitral valve repair procedure to guide the placement of a clip or device.
6. Intracardiac echocardiography is utilized during a transcatheter pulmonary valve implantation procedure to ensure proper placement and pre-stenting of the valve delivery site.
7. A provider performs intracardiac echocardiography during the placement of an intracoronary stent in a single vessel.
8. Intracardiac echocardiography is used during a therapeutic intervention to guide the provider in the removal of an intracardiac thrombus or foreign body.
9. During a diagnostic intervention, the provider uses intracardiac echocardiography to assess the function and structure of the heart.
10. Intracardiac echocardiography is performed during a percutaneous procedure to evaluate and guide the treatment of a cardiac condition.