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The CPT® Code 93565 refers to an injection procedure performed during cardiac catheterization, specifically for selective left ventricular or left atrial angiography. This procedure is essential for visualizing the structures and function of the left side of the heart. During this process, a catheter is carefully positioned within the left heart chambers, allowing for the injection of contrast media. This contrast agent enhances the visibility of the left ventricle and/or left atrium on imaging studies, enabling the physician to obtain detailed angiograms. These angiograms are critical for diagnosing various cardiac conditions, as they provide a clear view of blood flow and any potential abnormalities within these heart chambers. Following the procedure, the physician reviews the angiograms and generates a written report that interprets the findings, which is crucial for further clinical decision-making. It is important to note that CPT® Code 93565 is reported separately in addition to the primary procedure code for cardiac catheterization, ensuring that the injection and imaging components are accurately captured for billing and documentation purposes.
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The injection procedure represented by CPT® Code 93565 is indicated for specific clinical scenarios where detailed visualization of the left ventricular or left atrial structures is necessary. This may include, but is not limited to, the following conditions:
The procedure associated with CPT® Code 93565 involves several critical steps to ensure accurate imaging and assessment of the left heart. The following outlines the procedural steps:
Post-procedure care following the injection procedure for CPT® Code 93565 typically involves monitoring the patient for any immediate complications related to the catheterization and contrast injection. Patients may be observed for signs of bleeding at the access site, allergic reactions to the contrast media, or any cardiovascular changes. Depending on the patient's condition and the findings from the procedure, further follow-up may be necessary, including additional imaging or interventions. The physician will provide specific instructions regarding activity restrictions, medication management, and follow-up appointments to ensure optimal recovery and ongoing assessment of the patient's cardiac health.
| Short Descr | NJX CAR CTH SLCTV LV/LA ANG | Medium Descr | NJX DRG C-CATHJ SLCTV L VNTRC/R ATRIAL ANGRPHS&I | Long Descr | Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | 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 | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P2F - Major procedure, cardiovascular-Other | MUE | 1 | CCS Clinical Classification | 47 - Diagnostic cardiac catheterization, coronary arteriography |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 33741 | Modifier 63 Exempt MPFS Status: Active Code APC C Transcatheter atrial septostomy (TAS) for congenital cardiac anomalies to create effective atrial flow, including all imaging guidance by the proceduralist, when performed, any method (eg, Rashkind, Sang-Park, balloon, cutting balloon, blade) | 33745 | MPFS Status: Active Code APC C Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow, including all imaging guidance by the proceduralist, when performed, left and right heart diagnostic cardiac catheterization for congenital cardiac anomalies, and target zone angioplasty, when performed (eg, atrial septum, Fontan fenestration, right ventricular outflow tract, Mustard/Senning/Warden baffles); initial intracardiac shunt | 93582 | MPFS Status: Active Code APC J1 Percutaneous transcatheter closure of patent ductus arteriosus | 93593 | MPFS Status: Carrier Priced APC J1 Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections | 93594 | MPFS Status: Carrier Priced APC J1 Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections | 93595 | MPFS Status: Carrier Priced APC J1 Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections | 93596 | MPFS Status: Carrier Priced APC J1 Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections | 93597 | MPFS Status: Carrier Priced APC J1 Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections |
| 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. | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | CR | Catastrophe/disaster related | GC | This service has been performed in part by a resident under the direction of a teaching physician | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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Notes
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| 2023-01-01 | Note | Short and medium descriptions changed. |
| 2022-01-01 | Changed | First appearance of guideline change in codebook. |
| 2021-06-07 | Changed | Second parenthetical note revised per CPT errata. |
| 2017-01-01 | Changed | Moderate (Conscious) Sedation flag removed. See new Moderate Sedation category. |
| 2011-01-01 | Added | Added |
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