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The CPT® Code 93609 refers to the procedure of intraventricular and/or intra-atrial mapping of tachycardia sites, which involves the use of catheter manipulation to record electrical activity from multiple sites within the heart. This procedure is essential for identifying the origin of tachycardia, a condition characterized by an abnormally fast heart rate. During this mapping process, intra-cardiac catheters are strategically placed within the heart chambers to capture detailed electrical signals. The standard technique employed is sequential mapping, where electrode-mounted catheters are repositioned systematically from one location to another within the heart. This allows for the collection of sequential recordings from each site, which are then analyzed to construct a comprehensive mapping of the tachycardia sites. The physician meticulously reviews these recordings and the resulting mapping to determine the precise electrical pathways involved in the tachycardia. A written report is generated to document the findings and support further clinical decision-making. It is important to note that this code is reported separately in addition to the code for the primary procedure performed during the arrhythmia induction process.
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The procedure coded as CPT® 93609 is indicated for patients experiencing tachycardia, which may manifest as symptoms such as palpitations, dizziness, or syncope. The mapping is performed to identify the specific sites within the heart that are responsible for the tachycardia, aiding in the diagnosis and management of arrhythmias. This procedure is particularly relevant in cases where the origin of the tachycardia is unclear and requires detailed investigation to guide further treatment options.
The procedure begins with the placement of intra-cardiac catheters, which is performed as a separately reportable procedure. Once the catheters are in position, the physician employs a sequential mapping technique. This involves repositioning electrode-mounted catheters from one site to another within the heart chambers. At each site, sequential recordings of the electrical activity are taken. These recordings are crucial for constructing a detailed map of the tachycardia sites. The physician carefully analyzes the collected data to determine the electrical pathways involved in the tachycardia. After completing the mapping, a comprehensive review of the recordings and the constructed map is conducted, culminating in the generation of a written report that outlines the findings and supports clinical decision-making.
After the completion of the intraventricular and/or intra-atrial mapping procedure, patients may be monitored for any immediate complications or adverse effects related to catheter placement. The physician will review the findings from the mapping and discuss potential treatment options based on the identified tachycardia sites. Follow-up care may include additional diagnostic testing or therapeutic interventions, depending on the results of the mapping and the patient's overall clinical condition. It is essential for the healthcare team to provide appropriate post-procedure instructions and ensure that the patient understands the next steps in their care plan.
| Short Descr | INTRA-VNTR MAPG TCHYCAR SITE | Medium Descr | INTRA-VNTR MAPG TACHYCARDIA SITES W/CATH MNPJ | Long Descr | Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure) | Status Code | Carriers Price the Code | Global Days | ZZZ - Code Related to Another Service | 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 | 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 |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 93620 | MPFS Status: Carrier Priced APC J1 PUB 100 CPT Assistant Article Illustration for Code Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording | 93653 | MPFS Status: Active Code APC J1 Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry | 93656 | Changed Code for 2025 MPFS Status: Active Code APC J1 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and His bundle recording, when performed |
| 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. | GC | This service has been performed in part by a resident under the direction of a teaching physician | AO | Alternate payment method declined by provider of service | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 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.) | GW | Service not related to the hospice patient's terminal condition | KX | Requirements specified in the medical policy have been met | Q0 | Investigational clinical service provided in a clinical research study that is in an approved clinical research study | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | Q5 | Service furnished under a reciprocal billing arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | TV | Special payment rates, holidays/weekends | 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 |
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| 2025-01-01 | Changed | Short and Medium Descriptions changed. |
| 2017-01-01 | Changed | Moderate (Conscious) Sedation flag removed. See new Moderate Sedation category. |
| 2013-01-01 | Changed | Medium Descriptor changed. Guideline information changed. |
| 2011-01-01 | Changed | Short description changed. |
| 2002-01-01 | Changed | Code description changed. |
| 1990-01-01 | Added | First appearance in code book in 1990. |
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