© Copyright 2025 American Medical Association. All rights reserved.
The procedure described by CPT® Code 93603 involves the right ventricular recording, which is a diagnostic test aimed at assessing the electrical activity within the right ventricle of the heart. This procedure is crucial for identifying any irregularities in the electrical impulses that may lead to dyssynchronous contractions, which can adversely affect the heart's function. During the procedure, the physician accesses the heart through one or more veins, typically the femoral or jugular veins. The skin over these access points is prepared, and the veins are punctured to insert sheaths that facilitate the introduction of catheters into the heart. Continuous fluoroscopic guidance is employed to ensure accurate placement of the guidewires and catheters. Once positioned, the physician uses an electrode-mounted catheter to obtain recordings of the electrical activity in the right ventricle. This data is essential for diagnosing conditions that may not be evident through standard electrocardiography (ECG) methods. After the recordings are taken, the physician reviews the data and generates a written report summarizing the findings, which is critical for further clinical decision-making.
© Copyright 2025 Coding Ahead. All rights reserved.
The right ventricular recording procedure (CPT® Code 93603) is indicated for the evaluation of specific cardiac conditions where the electrical activity of the right ventricle is suspected to be abnormal. The following conditions may warrant this procedure:
The right ventricular recording procedure involves several key steps to ensure accurate assessment of the heart's electrical activity. The process begins with the selection of one or more access veins, commonly the femoral or jugular veins. The skin over these access points is meticulously prepped to maintain a sterile environment. Following this, the physician punctures the selected veins with a needle, through which sheaths are inserted to facilitate further access to the heart.
After the right ventricular recording procedure is completed, the physician will typically monitor the patient for any immediate complications related to the access site or the procedure itself. Patients may be advised to rest and avoid strenuous activities for a short period following the procedure. The physician will review the recorded data and generate a written report, which will be used to guide further clinical decisions. Follow-up appointments may be scheduled to discuss the results and any necessary treatment options based on the findings from the recording.
| Short Descr | RIGHT VENTRICULAR RECORDING | Medium Descr | RIGHT VENTRICULAR RECORDING | Long Descr | Right ventricular recording | Status Code | Carriers Price the Code | Global Days | 000 - Endoscopic or Minor Procedure | 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 | Hospital Part B services paid through a comprehensive APC | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P2F - Major procedure, cardiovascular-Other | MUE | 1 | CCS Clinical Classification | 62 - Other diagnostic cardiovascular procedures |
| 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. | 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. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AO | Alternate payment method declined by provider of service | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | GC | This service has been performed in part by a resident under the direction of a teaching physician | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
|
Date
|
Action
|
Notes
|
|---|---|---|
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.