Cardiology Coding Alert

These definitions went into effect in 2013.

Your CPT® 2014 resource will probably mark codes 93653, 93654, 93656 as revised. The changes shown below were actually put into place in 2013 via AMA’s errata document (www.ama-assn.org/resources/doc/cpt/cpt-corrections-errata.pdf). So the “revised” notation just lets you know the codes differ from how they were originally published in 2013:

93653, Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of an arrhythmia with right atrial pacing and recording, right ventricular pacing and recording (when necessary), and His bundle recording (when necessary) with intracardiac catheter ablation of arrhythmogenic focus; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry

93654, … with treatment of ventricular tachycardia or focus of ventricular ectopy including intracardiac electrophysiologic 3D mapping, when performed, and left ventricular pacing and recording, when performed

93656, Comprehensive electrophysiologic evaluationincluding transseptal catheterizations, insertion and repositioning of multiple electrode catheters with induction or attempted induction of an arrhythmia with atrial recording andincluding left or right atrial pacing,/recording when possiblenecessary, right ventricular pacing/recording when necessary and recording, His bundle recording when necessary with intracardiac catheter ablation of arrhythmogenic focus, with treatment of atrial fibrillation by ablation by pulmonary vein isolation.