© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 93616 refers to the procedure of esophageal recording of atrial electrogram, which may also include ventricular electrogram(s) and is performed with pacing. This procedure involves the insertion of an esophageal probe equipped with electrodes that monitor the heart's electrical activity. The probe is carefully advanced through the mouth and positioned in the esophagus, specifically at a location just behind the heart. This strategic placement allows for accurate atrial electrocardiogram (ECG) recordings, which are essential for assessing the heart's rhythm and function. In some cases, ventricular ECG recordings may also be captured during this procedure. Following the initial recordings, the physician may initiate pacing, a technique used to stimulate the heart and evaluate its response. This pacing procedure is critical in determining the necessity for further interventions, such as electrophysiological procedures, the implantation of a pacemaker, or the use of a cardioverter. After completing the esophageal ECG recordings and pacing, the physician analyzes the results and compiles a comprehensive written report. It is important to note that CPT® Code 93615 should be used when esophageal ECG recordings are obtained without the pacing component, while CPT® Code 93616 is specifically designated for cases where pacing is included in conjunction with the esophageal ECG recordings.
© Copyright 2025 Coding Ahead. All rights reserved.
The esophageal recording of atrial electrogram with or without ventricular electrogram(s) and with pacing is indicated for various clinical scenarios. The following conditions may warrant this procedure:
The procedure for esophageal recording of atrial electrogram with pacing involves several key steps, which are detailed below:
Post-procedure care involves monitoring the patient for any immediate complications or adverse reactions following the esophageal recording and pacing. The physician will review the findings with the patient and discuss any necessary follow-up actions or additional interventions based on the results. Patients may be advised to rest and avoid strenuous activities for a short period after the procedure. Any specific instructions regarding medication adjustments or further testing will be provided as needed. It is essential for the healthcare team to ensure that the patient understands the results and the next steps in their care plan.
| Short Descr | ESOPHAGEAL RECORDING W/PACG | Medium Descr | ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG | Long Descr | Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with 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 |
| 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. | 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
|
|---|---|---|
| 2025-01-01 | Changed | Short Description changed. |
| 2017-01-01 | Changed | Moderate (Conscious) Sedation flag removed. See new Moderate Sedation category. |
| 1990-01-01 | Added | First appearance in code book in 1990. |
Get instant expert-level medical coding assistance.