• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Programming and Interrogation

Create Wiki
N

NESmith

Guest
Messages
309
Location
Zephyrhills, FL
Best answers
0
I am really new at coding for an EP specialist and I have a couple of question that was told to the provider by an outside source. Is it appropriate to bill for the professional component for programming (93279-93284) or for interrogation and analysis (93288-93289) the day after an ICD or pacer is inserted at the hospital. And what is a transseptal puncture during an EP study. Any help you can give would be greatly appreciated. Thanks
 
I can't speak for the 2nd question because I don't code an EP.

I will say for the pacemaker checks, though, you can bill the professional components of these codes when checking the following day as pacemaker/device checks aren't included in the global period.

Jessica CPC, CCC
 
You should use the peri/post procdural codes.

93286 Peri-procedural device evaluation and programming of device system parameters before or after a surgery, procedure, or test with physician analysis, review and report; single, dual, or multiple lead pacemaker system
93287 Peri-procedural device evaluation and programming of device system parameters before or after a surgery, procedure, or test with physician analysis, review and report; single, dual, or multiple lead implantable cardioverter-defibrillator

For examples and answers to peri/post codes please see doc: http://www.bostonscientific.com/car...010/CRM5-1754-FAQ-Device-Monitoring-Codes.pdf
 
Thank You so much for your reply, but i need to ask another question. Do you still use the peri-procedural codes at the time of implant (Pacemaker/ICD) or would you use programming? I am being told so many different things. Help
 
We use the programming codes the day following the implant. It is my understanding that the peri-procedural codes are to be used when the device has already been implanted and the device has to be adjusted pre/post a procedure to accomodate that procedure.
 
I am really new at coding for an EP specialist and I have a couple of question that was told to the provider by an outside source. Is it appropriate to bill for the professional component for programming (93279-93284) or for interrogation and analysis (93288-93289) the day after an ICD or pacer is inserted at the hospital. And what is a transseptal puncture during an EP study. Any help you can give would be greatly appreciated. Thanks[/quote]

To answer your second question.....transseptal puncture is done during an EP Study and/or ablation for atrial fibrillation. The Dr enters the left atrium/ventricle through the septum for pacing, recording and/or ablation; however there isnt a separate CPT code to describe the transseptal puncture.

93527 is combined rt & left heart cath w/transseptal puncture but medical necessity has to be documented to warrent doing a rt heart cath @ the time of the EP Study or ablation. In most cases I have reviewed, a rt heart cath is rarely done. I would be happy to email you some reading material about transseptal puncture. Here is my email address:
valenzd1@sutterhealth.org

I hope this has made sense.

Dolores CCC, CPC
 
You must log in or register to reply here.
Top