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Intra-atrial pacing, as described by CPT® Code 93610, is a medical procedure that involves the use of electrical impulses to modify the heart's rhythm. This technique is essential in assessing the heart's electrical activity and determining the need for further interventions, such as electrophysiological procedures, pacemakers, or other cardiac devices. The procedure typically begins with the selection of one or more access veins, commonly the femoral or jugular veins, which are crucial for gaining access to the heart. Prior to the procedure, the skin over the chosen access veins is meticulously prepped to minimize the risk of infection. Following this, a needle is used to puncture the veins, and sheaths are placed to facilitate the insertion of additional instruments. Continuous fluoroscopic guidance is employed throughout the procedure to ensure accurate placement of guidewires, which are advanced from the access veins into the heart. Once the guidewires are in position, catheters are threaded over them and positioned within the atria or ventricles of the heart. After the guidewires are removed, the physician initiates the pacing procedure itself. This pacing is critical for evaluating the heart's response and determining the appropriate course of action based on the results obtained. A comprehensive written report is generated by the physician to document the findings of the pacing procedure. It is important to note that CPT® Code 93610 specifically pertains to intra-atrial pacing, while CPT® Code 93612 is designated for intraventricular pacing.
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Intra-atrial pacing is indicated for various clinical scenarios where assessment of the heart's electrical activity is necessary. The following conditions may warrant the performance of this procedure:
The intra-atrial pacing procedure involves several critical steps to ensure successful pacing and accurate assessment of the heart's electrical activity. The following procedural steps are performed:
After the intra-atrial pacing procedure, patients are typically monitored for any immediate complications or adverse reactions. The recovery process may involve observation in a clinical setting to ensure the patient's stability and to assess the effectiveness of the pacing. The physician will review the pacing results and discuss the findings with the patient, including any potential need for further procedures or interventions based on the outcomes. Follow-up appointments may be scheduled to monitor the patient's condition and to evaluate the need for additional treatments, such as the implantation of a permanent pacemaker or other cardiac devices.
| Short Descr | INTRA-ATRIAL PACING | Medium Descr | INTRA-ATRIAL PACING | Long Descr | Intra-atrial pacing | 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 |
This is a primary code that can be used with these additional add-on codes.
| 93623 | Addon Code MPFS Status: Carrier Priced APC N PUB 100 CPT Assistant Article Illustration for Code Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) |
| 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. | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 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.) | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | 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 |
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| Pre-1990 | Added | Code added. |
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