AC Financial Services Reference Guide For Services referred to: Cardio Vascular Lab
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1 All superscript numbers (Example: Description 1 ) correspond to important notes at the bottom of this page. DIAGNOSTIC CATH/PROCEDURES CARDIAC CATHS RT Heart Cath RT Heart Cath/Coro Art Cath/Coro Angio Basic Hearth Cath/Coro Cannulation/S/LV 93454, LT Heart Cath/Coro Angiogram W/LV 93458, Left Heart Cath/Coro Angio W/Bypass or IM 93459, RT & LT Heart Cath/Coro Angio W/LV 93460, RT LT Heart Cath/Coro Angio W/LV & IM/Bypass Grafts 93461, LT Heart Cath/Transeptal Via Intact Septum CATHS FOR CONGENITAL DISEASE RT Heart Cath RT & LT Hearth Cath RT & Transeptal LT Heart Cath via Exist Septal Opening Inject. Coro Angio, S&I during Congenital Cath Inject. IM/Grafts, S&I during Congenital Cath Inject. LT Ventricular, S&I ADDITIONAL CATH SERVICES Inject. RT Ventricular or RT Atrial Angio, S&I Inject. Aortography, S&I Inject. Pulmonary Angio, S&I Angioplasty/PTCA: INTERVENTIONS Single Major Artery or Branch 92920, Each Additional Branch 92921, Stent/PTCA (+ Angioplasty if performed): Single Major Artery or Branch 92928, Each Additional Branch 92929, Atherectomy/Rotoblator (+Stent +Angioplasty if performed): Single Major Artery or Branch 92933, Each Additional Branch 92934, PTCA of/thru Coronary Artery Bypass Graft: Any Combo Stent/Atherectomy/Angioplasty-Single Vessel 92937, Each Additional Branch 92938, PTCA (Any Combo) During Acute Myocardial Infarct 92941, By: RQuintana AC Financial Services Page 1 of 5
2 AC Financial Services Reference Guide DIAGNOSTIC CATH/PROCEDURES CONT D PTCA (Any Combo) of Chronic Total Occlusion (Over 3 Mos) 92943, Each Additional Branch 92944, Percutaneous Thrombectomy (Angiojet) List Separately Percutaneous Pulmonary Artery Angioplasty Percutaneous Valvuloplasty, Aortic Valve Mitral Valve Pulmonary Valve Tricuspid Valve Transcatheter Aortic Valve Replacement Femoral/Percutaneous ASD/PFO Closure 93580, 93312, 93320, RT Heart Cath, Congenital Coil Embolization (PDA Closure) 93580, 93312, 93320, Coil Embolization, S&I Endomyocardial Biopsy With C4D Staining Fractional Flow Reserve Intra-Aortic Balloon Pump Impella Device 33990, Inhaled Nitric Oxide Intracoronary Ultrasound Each Additional Vessel Cardioversion, External Cardioversion, Internal ELECTROPHYSIOLOGY EPS ABLATION/AV NODAL EPS Ablation AV Node EP Eval W/Induction Arrhythmia RT Atrium & Ventric W/LT Atrial Pacing & Recording Intracardiac EP 3D Map (Carto) By: RQuintana AC Financial Services Page 2 of 5
3 ELECTROPHYSIOLOGY CONT D ABLATION/SUPRAVENTRICULAR TACHYCARDIA Comprehensive EP Eval with Ablation Catheter Ablation for Spontaneous/Induced Arrhythmia W/LT Atrial Pacing & Recording EP Eval W/Induction Arrhythmia W/Pacing and Recording Intraventric/Atrial Mapping Tachycardia Intracardiac EP 3D Mapping (Carto) LT Heart Cath by Transseptal Puncture ABLATION/VENTRICULAR TACHYCARDIA Comprehensive EP Eval with Ablation-Ventricular Tach EP Eval W/Induction Arrhythmia RT Atrium & Ventric W/LT Ventricular Pacing and Recording Coronary Angiogram LT Heart Cath by Transseptal Puncture Intracardiac EP 3D Mapping (Carto) EPS ABLATION/A-FIB (Always inpatient) Comp EP Eval W/Ablation Atrial/Ventric Pace & Recording Addtl Ablation LT/RT Atrium for A-Fib W/LT Ventricular Pacing & Recording Intraventric/Atrial Mapping Tachycardia Intracardiac EP 3D Map (Carto) Intracardial Echo By: RQuintana AC Financial Services Page 3 of 5
4 AC Financial Services Reference Guide ICD IMPLANTS Initial ICD Implant (single or dual) System & Leads EP with ICD Testing 93641, x2 Initial ICD Implant Bi-Ventricular System & Leads Replacement of ICD Pulse Generator Single Lead Replacement of ICD Generator Dual Lead Replacement of ICD Generator BI-V System Upgrade & ICD Generator Replace to BI-V ICD System Upgrade from Pacemaker to Dual or BI-V ICD Removal of ICD Generator Pocket Revision Lead Reposition-RT Atrial or RT Ventricular Reposition LT Ventricular Lead Lead Repair: Repair Single Tranvenous Electrode for Single Chamber Repair 2 Venous Electrodes for Dual Chamber Revision Skin Pocket Programming: Follow up visit Programming ICD (Single Chamber) Programming ICD (Dual Chamber) Programming ICD (Multi Chamber/BI-V DFT Testing By: RQuintana AC Financial Services Page 4 of 5
5 PACEMAKER IMPLANTS Pacemaker Insert or Replace/Single Chamber (Atrial) Pacemaker Insert or Replace/Single Chamber (Ventricular) Pacemaker Insert or Replace/Dual Chamber Pacemaker Insert or Replace/BI-Ventricular Insert LV Lead for BI-V to Existing Generator Insert LV Lead for BI-V to New or Replaced Generator Removal Pacemaker Generator only Removal Electrode, Single Lead, Atrial or Ventricular Removal Transvenous Electrodes Electrodes, Dual Lead System Remove and Replace Pacemaker Generator only/single Chamber Remove and Replace Pacemaker Generator only/dual Lead Remove and Replace Pacemaker Generator only/bi-ventricular Upgrade Pacemaker from Single to Dual Chamber (Includes Generator Removal) Insert LV Lead for Upgrade to Dual or BI-V Reposition Pacemaker or ICD Lead/Electrode (RT Atrial or RT Ventricular Cardiac Fluoroscopy, S&I Repair Transvenous Electrode (1) Pacemaker or AICD Repair Transvenous Electrode (2) Pacemaker or AICD Revision/Relocation Skin Pocket Pacemaker Insert LT Ventricular Lead-Existing Generator Insert LT Ventricular Lead-New Generator Reposition Previously Implanted LT Ventricular Lead Implant Loop Recorder Remove Loop Recorder Programming: Follow up visit Interrogation Pacemaker/Single, Dual, Multi Programming/Single Programming/Dual Programming/Multi CARDIOMEMS Right Heart Cath Pulmonary Angiography Unlisted Cardiovascular Procedure CardioMEMs By: RQuintana AC Financial Services Page 5 of 5
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