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Ultrasonic guidance for endomyocardial biopsy, as described by CPT® Code 76932, involves the use of ultrasound technology to assist in the precise location and sampling of heart tissue. This procedure is critical in the context of an endomyocardial biopsy, where a bioptome, which is a specialized instrument for obtaining tissue samples, is introduced through a heart catheter that has already been placed. The ultrasound guidance, specifically echocardiography, provides real-time imaging that allows the physician to visualize the heart's structures and navigate the bioptome to the targeted biopsy site. This technique enhances the accuracy of the biopsy, ensuring that the tissue sample is taken from the correct area of the heart, which is essential for accurate diagnosis and treatment planning. The procedure includes not only the physical act of obtaining the biopsy but also the necessary imaging supervision and interpretation, which are integral to the overall process and contribute to the successful outcome of the biopsy.
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Ultrasonic guidance for endomyocardial biopsy is indicated in various clinical scenarios where obtaining a tissue sample from the heart is necessary for diagnostic purposes. The following conditions may warrant this procedure:
The procedure for ultrasonic guidance during an endomyocardial biopsy involves several critical steps to ensure accurate tissue sampling. Each step is essential for the successful execution of the biopsy:
Following the endomyocardial biopsy with ultrasonic guidance, patients are typically monitored for any immediate complications, such as bleeding or arrhythmias. The insertion site is assessed for signs of infection or hematoma. Patients may experience some discomfort at the biopsy site, which is generally manageable with standard analgesics. Recovery time can vary, but most patients are advised to rest and avoid strenuous activities for a short period following the procedure. The results of the biopsy will guide further management and treatment decisions based on the pathological findings.
| Short Descr | ECHO GUIDE FOR HEART BIOPSY | Medium Descr | US ENDOMYOCARDIAL BIOPSY RS&I | Long Descr | Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation | Status Code | Carriers Price the Code | Global Days | YYY - Carrier Determines Whether Global Concept Applies | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | I3C - Echography/ultrasonography - heart | MUE | 1 | CCS Clinical Classification | 193 - Diagnostic ultrasound of heart (echocardiogram) |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | GC | This service has been performed in part by a resident under the direction of a teaching physician | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | CR | Catastrophe/disaster related | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | RT | Right side (used to identify procedures performed on the right side of the body) | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2001-01-01 | Changed | Code description changed. |
| 1990-01-01 | Added | First appearance in code book in 1990. |
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