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Thread: transeptal puncture

  1. #1

    Default transeptal puncture

    AAPC: Back to School
    Dr. performing transeptal puncture during EP study under
    guidance of intracardiac echocardiography
    Looking for code for the transeptal puncture
    Thanks for any help

  2. #2


    I add modifier 22 to the ablation code and if you can add an additional description to your electronic claim with the cpt code of "via transseptal approach" for the carrier to see. With the med doc it will be easier for them to see if you can clue them in. Some carriers are not paying anymore anyway. I just started adding 25% to my fee when the transsepetal ablation is done. I have not had time yet to see if I am getting a higher reimbursment. I know here in VA. that for Anthem and Cigna the 93541 is a super specialty code and they will not pay more so I don't even bill with the mod 22 or tell them it is transseptal on the claim. I hope this gives you some guidance.

  3. #3
    Join Date
    Apr 2007


    We are billing the unlisted code 93799 for transseptal punctures during EP studies in MN. We aren't having a ton of luck getting that paid though across all payers.

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