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Cardiology Coding Alert

Reader Question:

93619 Covers No Attempted Arrhythmia Induction

Published on Wed Jun 15, 2011

Question: Both 93619 and 93620 refer to EP evaluations with attempted induction. Which should we use if the physician tries to induce arrhythmia but fails?Oklahoma SubscriberAnswer: The appropriate code for a complete electrophysiologic (EP) evaluation in which the physician tries to induce arrhythmia but fails is 93620 (Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording).The definition of 93620 specifies it is appropriate "with induction or attempted induction of arrhythmia."Note how the definition differs from 93619 (Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia).Key: Code 93619 specifies "without induction or attempted induction." To correctly grasp 93619, apply the term "without" to the entire [...]
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