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Comprehensive EP Study (93619) vs 93600, 93602 & 93610

Long Posted Wed 23rd of October, 2019 20:20:00 PM
My doctor has performed an EP study procedure, including intra-atrial recording, intra-atrial pacing, and bundle of his recording, without inducing any arrhythmia. Should we bill 93618 for comprehensive EP study, or 93600 (for bundle of his recording), 93602 (for intra-atrial recording) and 93610 (for intra-atrial pacing) separately. Basically, should we bill 93618 only if the procedure includes all five (bundle of his recording, intra-atrial recording, intra-atrial pacing, intra-ventricular recording and intra-ventricular pacing)? If not when it can be billed?
SuperCoder Answered Thu 24th of October, 2019 07:24:48 AM

Hi Long,


Thanks for your question.


Please do not report separate codes for each activity. Instead a comprehensive code i.e. 93619 (Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted induction of arrhythmia) should be reported. Append modifier 52 (reduced services) with 93619 since ventricular pacing and recording are not performed.


Please feel free to write if you have any question.



Long Posted Thu 24th of October, 2019 14:53:12 PM
Thanks for the quick response. So report 93600 if only bundle of his recording is performed in the procedure. Report 93619 if more than one recording (e.g., bundle of his and intra-atrial recordings) was performed in the procedure, and add -52 if <5 recordings were performed in the procedure.
SuperCoder Answered Fri 25th of October, 2019 02:50:42 AM

Yes, this is correct.


Long Posted Fri 25th of October, 2019 14:58:00 PM
Got it, thank you!
SuperCoder Answered Tue 29th of October, 2019 00:46:11 AM

Thank you, happy to help.

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