Physician Reimbursement Primer for Cardiac ... - Boston Scientific

Chapter 5
• Assign modifier 26 to describe the professional component of hospital-based
services.
• Do not report fluoroscopic guidance separately.
Add-on Codes (93621, 93622, 93623)
93621 Comprehensive electrophysiologic evaluation including insertion and repositioning
of multiple electrode catheters with induction or attempted induction
of arrhythmia; with left atrial pacing and recording from coronary sinus or left
atrium (List separately in addition to code for primary procedure)
93622 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)
Documentation and Billing Tips
• Report code 93621 and 93622 with code 93620.
• Current CCI edits prohibit the reporting of temporary pacing (33210–33211),
cardioversion (92960–92961), or EKG (93000–93042) with EP studies.
• Assign modifier 26 to describe the professional component of hospital-based
services.
• Do not report fluoroscopic guidance separately.
93623 Programmed stimulation and pacing after intravenous drug infusion (List
separately in addition to code for primary procedure)
Documentation and Billing Tips
• Report codes 93623 with codes 93619 and 93620.
• Current CCI edits prohibit the reporting of temporary pacing (33210–33211),
cardioversion (92960–92961), or EKG (93000–93042) with EP studies.
• Assign modifier 26 to describe the professional component of hospital-based
services.
• Do not report fluoroscopic guidance separately.
• Code 93623 may not be reported with ablation procedures.
Outpatient Procedure Coding for Electrophysiology
Clinical Examples
CPT
EP Clinical Examples
Coding
EP study is performed. Catheters are placed in 93620–26
RA, RV for pacing and recording, and in region 93621–26
of His bundle for recording. A fourth catheter is placed within 93623–26
coronary sinus for left atrial recording. SVT is induced.
Additional testing is performed during isoproterenol
administration.
EP study is performed. Catheters are placed in RA for pacing
and recording, and in region of His bundle for recording.
EP study is performed. Catheters are placed in RV for pacing
and recording, and in region of His bundle for recording.
EP study is performed. Catheters are placed in RA, RV for
pacing and recording, and in region of His bundle for recording.
SVT is induced.
93600–26
93602–26
93610–26
93600–26
93603–26
93612–26
93620–26
40 Physician Reimbursement Primer for Cardiac Rhythm Management