Wiki Cardioversion with EP study x two

Create Wiki
B

BonnieJ123

Networker
Messages
84
Location
Wichita, KS
Best answers
0
My EP doctor has performed a cardio-version through the patient's ICD device with an EP study. I watched a webinar and the instructor was not sure what code to use and suppose to get back with me. She has not so I am reaching out to my EP coders. 92961? or 93642? or unlisted code 93799? The report states, "A single 35-joule shock from the ICD was administered to convert the patient from ventricular tachycardia to normal sinus rhythm which was successful". This was done twice and doctor states EP study with both cardio-versions. Any help would be greatly appreciated. Thanks
 
Bonnie Owen said:
My EP doctor has performed a cardio-version through the patient's ICD device with an EP study. I watched a webinar and the instructor was not sure what code to use and suppose to get back with me. She has not so I am reaching out to my EP coders. 92961? or 93642? or unlisted code 93799? The report states, "A single 35-joule shock from the ICD was administered to convert the patient from ventricular tachycardia to normal sinus rhythm which was successful". This was done twice and doctor states EP study with both cardio-versions. Any help would be greatly appreciated. Thanks
Click to expand...


Use the unlisted code 93799 for the cardioversion used thru the ICD device and appropriate code for the EP study if the documentation supports EP study.

HTH,

Misty Sebert CPC, CCC, CCVTC
 
but something else to think about before you bill the cardioversion is if the doctor put the patient in VT during the ep study then you can not bill for cardioversion. If the patient arrived in VT and doctor had to perform cardioversion thru the ICD in order to do the EP Study then you can bill it.
 
Cardioversion with EP study x 2

Misty thank you so much. I was lost on this one. I wish I could let you see the report but our system does not let me copy the records.
 
Misty Dawn said:
but something else to think about before you bill the cardioversion is if the doctor put the patient in VT during the ep study then you can not bill for cardioversion. If the patient arrived in VT and doctor had to perform cardioversion thru the ICD in order to do the EP Study then you can bill it.
Click to expand...

Hello Misty. Where did you find the guidance that states that we can charge a Cardioversion prior to the EP Study? The only guidance that I'm finding specific is the CPT Assistant that says that we can't code During or After an EP study. I have a Cardiovascular Article that says we can, however that's not an official guideline tool, so we are stumped in finding official guidance. Do you know of any? I'm attaching a link to that article.

https://www.biosensewebster.com/documents/ReimbursementFAQ_BiosenseWebster.pdf?Cache=1%2F15%2F2018+10%3A35%3A16+AM
 
You must log in or register to reply here.
Top