Reporting SVT ablation, ICE, trans-septal puncture, left atrial pacing and recording, mapping, and drug infusion generates 33.22 work RVUs (2.5% more than redo pulmonary vein isolation). Because of this, trans-septal puncture and left atrial pacing and recording can be reported in addition to the SVT ablation, ICE, mapping, and drug infusion. While this code generates quite a bit less compensation than the pulmonary vein isolation code, it does not have as many procedural components bundled into it. SVT ablation procedures should be reported with code 93653. ![]() ![]() This is because the definition of code 93656 specifies, “treatment of atrial fibrillation by pulmonary vein isolation.” AF ablation procedures that are not performed to isolate the pulmonary veins should be reported as supraventricular tachycardia ablations rather than pulmonary vein isolation. But redo procedures that entail focal or linear ablations that are not intended to isolate the pulmonary veins should be reported differently. Redo procedures that also involve isolating the pulmonary veins should be reported the same way. Drug infusion is not always performed but it is billable when it is performed for diagnostic purposes. The other codes are for intra-cardiac echo, mapping, and drug infusion, respectfully. The first code includes pulmonary vein isolation, left atrial pacing and recording, transseptal puncture, and whatever components of a diagnostic EP study are necessary. These procedures are commonly reported with codes 93656, 93662, 93613, and 93623. Initial atrial fibrillation ablation procedures are most commonly performed with the goal of achieving isolation of the pulmonary veins. In other cases, coding and reimbursement will be different. In these cases, payment will be the same. ![]() In many cases, the redo procedure should be billed the same way as the initial procedure. It is not unusual for patients to undergo redo ablation procedures after pulmonary vein isolation fails to be effective.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |