Cardiology Coding Alert
Ventricular Stimulation Requires Separate EP Components
Tennessee Subscriber
Answer: The codes you list are for pacing and recording in the ventricle, as well as induction or attempted arrhythmia induction. The fact that your electro-physiologist did not perform a comprehensive EP study would obligate you to bill for the individual EP components. Based on the information you provided, your coding is accurate.
The comprehensive EP study codes are 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) and 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).
Specifically, you should report 93619 only if the physician performed and documented each of the five components of a comprehensive EP study. These component services include recording from the atrium (93602, Intra-atrial recording), bundle of His (93600, Bundle of His recording) and the ventricle (93603). Code 93619 also includes pacing from the atrium (93610, Intra-atrial pacing) and the ventricle (93612, Intraventricular pacing). Code 93620 includes all of these services, plus induction or attempted arrhythmia induction (93618).
The bottom line: When the physician provides less than the comprehensive study (93619 or 93620), you should report the subcomponents that the physician provides and documents.
Cardiology Coding Alert
- Put TDI, Color Flow in Your AV Optimization Package
Scan the note for these study details to recoup all of your pay
When physicians perform [...] - Peripheral Vascular Basics:
Here's How to Report Multiple Caths in Selective Sites
It all comes down to vascular families, experts say
You know you can't report nonselective catheter [...] - Billing E/M and Diagnostic Services Together?
Use 3 tips to fine-tune your test reporting
When your cardiologist provides an E/M service and [...] - You Be The Coder - Replacing Dual Pacer Generator and Atrial Lead
Question: Our physician recently replaced a generator on a dual system pacemaker for end of [...] - Reader Question:
Report Pre-Cath E/M Services After PCP Referral
Question: A patient's primary-care physician (PCP) sent a patient straight to a heart catheterization lab [...] - Reader Question:
Ventricular Stimulation Requires Separate EP Components
Question: Can I bill for a ventricular stimulation and right ventricle recording with the induction [...] - Reader Question:
Be Sure Angiography With Stent is Diagnostic
Question: When billing for a cardiac stent, should I automatically report the radiology code 75898 [...] - Reader Question:
Verify That Extremity Angiogram Is Unilateral
Question: When performing a left heart catheterization, the physician stated that he also performed a [...] - Reader Question:
Determine Observation or Inpatient Status
Question: Which E/M codes should I report for outpatient admissions? I need to know how [...]
