How To Use CPT Code 93799

CPT 93799 describes a unique cardiovascular service or procedure that does not have an assigned code. 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 93799?

CPT 93799 can be used to report new or unusual cardiovascular services or procedures that do not have a specific code. This code is used when the provider performs a service or procedure that is not represented by any of the standard and active CPT codes available.

2. Official Description

The official description of CPT code 93799 is: ‘Unlisted cardiovascular service or procedure.’

3. Procedure

1. When using CPT 93799, the provider performs a new or unusual cardiovascular service or procedure that is not represented by any existing CPT codes.
2. The procedure may involve diagnostic tests, surgical interventions, or other cardiovascular services that are not covered by specific codes.
3. The provider should document the details of the procedure, including the specific steps taken and any unique aspects of the service provided.
4. It is important to provide a thorough description of the procedure to justify the use of the unlisted code.
5. Include any relevant operative notes or other documentation to support the claim and avoid possible denials.

4. Qualifying circumstances

CPT 93799 is used when the provider performs a new or unusual cardiovascular service or procedure that is not represented by any of the standard and active CPT codes available. This code should only be used when there is no specific procedure or service code that accurately describes the service provided.

5. When to use CPT code 93799

CPT 93799 should be used when the provider performs a cardiovascular service or procedure that does not have an assigned code. This code should only be used when there is no other specific code available that accurately describes the service provided. It is important to note that Category III codes should be used when available in place of an unlisted procedure code.

6. Documentation requirements

To support a claim for CPT 93799, the provider should include the following documentation:

• A cover letter explaining the reason for choosing the unlisted code instead of a defined, active code
• Comparison to one or more similar codes to justify the claim amount
• Operative notes or other relevant documentation to strengthen the claim and avoid possible denials

7. Billing guidelines

When billing for CPT 93799, it is important to follow these guidelines:

• Do not choose a code that merely approximates the service provided
• Submit a cover letter explaining the reason for choosing the unlisted code
• Include one or more similar codes and compare the service to those codes to justify the claim amount
• Include operative notes or other relevant documentation to strengthen the claim and avoid possible denials

8. Historical information

CPT 93799 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 cardiologist performs a unique cardiovascular procedure to repair a rare congenital heart defect.
2. A cardiac surgeon performs a novel surgical technique to treat a complex cardiac condition.
3. An interventional radiologist performs an innovative procedure to treat a challenging arterial blockage.
4. A vascular surgeon performs a specialized procedure to address a rare vascular anomaly.
5. An electrophysiologist performs a cutting-edge procedure to correct a complex arrhythmia.
6. A cardiothoracic surgeon performs a groundbreaking surgery to replace a failing heart valve.
7. An interventional cardiologist performs a novel procedure to open a severely blocked coronary artery.
8. A cardiac electrophysiologist performs an innovative ablation procedure to treat a rare cardiac rhythm disorder.
9. A vascular surgeon performs a unique procedure to repair a rare arterial aneurysm.
10. An interventional radiologist performs an advanced procedure to treat a complex venous condition.