Cardiology Coding Alert

Reader Question:

93600 and 93610 Reflect Recording and Pacing

Question: When EP codes refer to recording and pacing, what does this mean?New York SubscriberAnswer: Recording means the electrophysiologist (EP) places an electrode in a certain location in the heart and assesses the electrical activity in that area. For instance, you would report 93600 (Bundle of His recording) if the physician placed an electrode at the bundle of His and recorded electrical activity. You would report 93602 (Intra-atrial recording) for intra-atrial recording and 93603 (Right ventricular recording) when the physician recorded activity in the right ventricle.Pacing means the EP administers electrical impulses to specific areas in the heart. Pacing allows the physician to assess how various portions of the heart react to electrical impulses. Specifically, the physician may perform pacing to evaluate whether certain pathways of the heart carry electrical impulses to appropriate locations and the speed of the conducted impulses. For instance, you would report 93610 (Intra-atrial pacing) when [...]
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