What is the CPT code for synchronized cardioversion?
There is a specific CPT code, 92960, for such cardioversions. There are no separate codes or modifiers for using paddles or hands-free, and there are no special codes or modifiers for biphasic cardioversion. CPT code 92960 is for elective cardioversion, not defibrillation.
When should CPT code 90970 be used?
When Should Cpt Code 90970 Be Used? Home dialysis ESRD members hospitalized within the month should follow procedure code 90967-90970. A member can use these codes to communicate information about what medication he/she is taking for the day that they are not under hospital watch.
What is the code for external electrical cardioversion?
“CPT codes 92960 and 92961 are used to report cardioversion. Code 92960 specifically describes elective (nonemergency) external electrical cardioversion. Presence of automatic (implantable) cardiac defibrillator Z95. 810 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What is included in CPT code 92950?
It is included in cardiopulmonary resuscitation (CPT code 92950). If emergency cardiac defibrillation without cardiopulmonary resuscitation is performed in the emergency department or critical/intensive care unit, the cardiac defibrillation service is not separately reportable.
What is CPT cardioversion?
CPT code 92960 and 92961 are used to report cardioversion . Elective or external cardioversion is most often used to treat atrial fibrillation and atrial flutter if anti-arrhythmic drugs fail to convert the heart back to normal sinus rhythm, or if the patient is hemodynamically unstable.
Is there a CPT code for chemical cardioversion?
Answer: Absolutely, yes. There is a specific CPT code, 92960, for such cardioversions. There are no separate codes or modifiers for using paddles or hands-free, and there are no special codes or modifiers for biphasic cardioversion. CPT code 92960 is for elective cardioversion, not defibrillation.
What is the CPT code 92960?
elective cardioversionCPT code 92960 is for elective cardioversion, not defibrillation. There is no separate code for defibrillation. Defibrillation is incorporated into CPR, which has its own CPT code (92950).
What is the ICD 10 code for cardioversion?
Cardioversion for these patients is no longer indicated, cannot be performed, or will not be performed. The record must identify the condition as permanent, or the code for chronic, unspecified (I48. 20) should be reported.
What is procedure code 93655?
Code 93655 can be billed in addition to any of the primary ablation services — 93653 (atrial), 93654 (ventricular), or 93656 (atrial fibrillation, pulmonary vein isolation), for treatment of a distinct arrhythmia focus. It cannot be billed as a stand-alone.
What is procedure code 93620?
CPT® Code 93620 in section: Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia.
What is the difference between CPT 96413 and 96365?
Report 96413 for a single or the initial substance given for up to one hour of service. Report 96415 for each additional hour of service beyond the initial hour. If the medication is not chemotherapy you should code 96365 with start and stop times.
What does CPT code 96374 mean?
CPT® 96374 in section: Therapeutic, prophylactic, or diagnostic injection (specify substance or drug)
What is included in CPT 92950?
CPRCPT states 92950 is intended to describe CPR to restore and maintain the patient's respiration and circulation after cessation of heartbeat and breathing.
Can I bill EKG with cardioversion?
Keep in mind: "Any electrocardiogram (ECG) performed prior to or during cardioversion is included in CPT® code 92960, Cardioversion, elective, electrical conversion of arrhythmia; external," CPT® Assistant states.
What is elective cardioversion?
During elective (nonemergent) cardioversion, a controlled electrical current is sent to the heart muscle by special electrodes that are attached to the skin on your chest and back. The goal of cardioversion is to bring back normal rhythm (sinus rhythm).
Does Medicare cover 92960?
92960 (Cardioversion, elective, electrical conversion of arrhythmia; external) has a work RVU of 2.25 and a total RVU of 3.63 for a Medicare payment of $123.56 in the facility setting.
What is included in CPT 92950?
CPRCPT states 92950 is intended to describe CPR to restore and maintain the patient's respiration and circulation after cessation of heartbeat and breathing.
What does DC cardioversion mean?
What is a Direct Current Cardioversion? A direct current cardioversion is a procedure which uses a defibrillator (a medical device) to deliver a controlled electric shock to your heart in order to try and return your heart rhythm (or beat) to normal.
Does Medicare cover 92960?
92960 (Cardioversion, elective, electrical conversion of arrhythmia; external) has a work RVU of 2.25 and a total RVU of 3.63 for a Medicare payment of $123.56 in the facility setting.
What is the CPT code for atrial fibrillation ablation?
The CPT® section notes state, “Code 93656 is a primary code for reporting treatment of atrial fibrillation by ablation to achieve complete pulmonary vein electrical isolation.” (emphasis added).
What is the CPT code for cardioversion?
As long as the patient can be given an explanation of the procedure and/or sign a consent, the cardioversion would be appropriately reported with CPT code 92960. Although the scenario is not exactly elective, with respect to the cardioversion, the intent is that it was not part of emergency resuscitation.
What does CPT code 92960 mean?
What does the term “elective” mean when reporting CPT code 92960, Cardioversion, elective, electrical conversion of arrhythmia; external, performed in the emergency department (ED). In an article published by the AMA “elective” is described as nonemergency. For example: How would this case be coded? A patient arrives by ambulance with complaint of his heart fluttering and beating fast and irregular. The patient states that he woke up around 2 a.m. with the sensation of fluttering on his upper back that lasted approximately 1 hour. He denies nausea, vomiting, dizziness, lightheadedness or chest pain. However, he is short of breath and has palpitations. The paramedics were called and the patient was transported to the ED. He appeared to be in atrial fibrillation with rapid ventricular response with a rate about 120. His blood pressure was 100 systolic range. He felt a little weaker than normal and stated that he saw a cardiologist a year ago and had a stress test performed at that time. The patient stated that he has been having palpitations associated with some shortness of breath (SOB) during the last 3 days. Two times in the past he had his atrial fibrillation converted to normal sinus rhythm (NSR) (1996 and 2002). He is currently on Sotalol, atorvastatin, warfarin, acetylsalicylic acid (ASA) and omeprazole. He was given a digoxin injection 250 mcg by slow intravenous (IV) push shortly after arrival, with no response. At 8 a.m. he still had a heart rate 118, BP 90/53. In the ED, direct current cardioversion (DCCV) was performed with 200 joules synchronized moder. Methohexital was used for sedation. Patient converted to NSR on the second attempt. There were no complications during the procedure. Patient recovered in the ER and was discharged home with instructions to follow-up with his cardiologist in 10 days. ...
Who is the author of the AHA coding handbook?
The handbook is authored by Nelly Leon-Chisen, RHIA , Director of Coding and Classification at the AHA.
Is the AHA coding clinic copyrighted?
AHA CODING CLINIC® FOR ICD-10-CM and ICD-10-PCS 2013 is copyrighted by the American Hospital Association ("AHA"), Chicago, Illinois. No portion of AHA CODING CLINIC® FOR ICD-10-CM and ICD-10-PCS may be reproduced, sorted in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior express, written consent of the AHA.
What is the Electrophysiology Coding Guide?
The Electrophysiology Coding Guide is intended to provide reference material related to general guidelines for the reimbursement of the Electrophysiology procedures when used consistently with the products' labeling. This guide includes information regarding coverage, coding and payment.
What is C-APC in CMS?
CMS implemented the comprehensive ambulatory payment category (C-APC) policy with the goal of identifying high-cost, device-related services as the primary service on the claim. All other services reported on the same date will be considered "adjunctive, supportive, related or dependent services" provided to support the delivery of the primary service and will be packaged into the OPPS C-APC payment of the primary service with minor exceptions (e.g., C-APC complexity adjustments).
