Wiki billable?

[christinerw27@gmail.com]

if a physician is performing a PVI, and does an empiric CTI, is the CTI billable?

 

[mwilliford711]

if a physician is performing a PVI, and does an empiric CTI, is the CTI billable?

Hi! I am doing some further research into your question, and I will get back to you ASAP.

Thanks!
Meagan Williford, CPC, BA, MA
Development Editor
AAPC

 

[mwilliford711]

if a physician is performing a PVI, and does an empiric CTI, is the CTI billable?

We do not recommend coding an additional ablation for empiric CTI ablation. If after performing the PVI 93656 (Comprehensive electrophysiologic evaluation including transseptal catheterizations, insertion and repositioning of multiple electrode catheters with induction or attempted induction of an arrhythmia including left or right atrial pacing/recording when necessary, right ventricular pacing/recording when necessary, and His bundle recording when necessary with intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation) the provider performs additional lesions for remaining atrial fibrillation or atrial flutter you may bill the 93657 (Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation; list separately in addition to code for primary procedure) for remaining atrial fibrillation or 93655 (Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure) for atrial flutter.

if a physician is performing a PVI, and does an empiric CTI, is the CTI billable?

If after performing the PVI, your physician performed additional lesions for the remaining atrial fib or atrial flutter, have you considered taking a look at codes 93657 or 93655?

Thanks!
Meagan Williford, CPC, BA, MA
Development Editor
AAPC