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The procedure described by CPT® Code 93618 involves the induction of arrhythmia through electrical pacing, a technique utilized in patients who experience intermittent episodes of irregular heart rhythms. This process is essential for diagnosing and understanding the nature of the arrhythmia, as it allows healthcare providers to observe the heart's electrical activity under controlled conditions. During the procedure, access to the heart is achieved via one or more veins, commonly the femoral or jugular veins. The skin over these access points is meticulously prepared to minimize the risk of infection, and the veins are punctured using a needle, followed by the placement of sheaths to facilitate catheter insertion. Once access is established, continuous fluoroscopic guidance is employed to insert guidewires, which are carefully advanced from the access veins into the heart chambers. Catheters are then maneuvered over these guidewires and positioned within the atria or ventricles, allowing for precise electrical pacing. The pacing procedure involves delivering timed electrical impulses at varying rates to provoke an arrhythmia, which can be critical for both diagnosis and treatment planning. Throughout the induction process, catheters may be repositioned to target multiple sites within the heart, enhancing the effectiveness of the pacing. After the procedure, the physician evaluates the results, analyzes the induced arrhythmia, and documents the findings in a comprehensive written report, which is vital for subsequent patient management and care decisions.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 93618 is indicated for patients who present with symptoms or conditions related to arrhythmias. The following are the explicitly provided indications for performing this procedure:
The procedure for the induction of arrhythmia by electrical pacing involves several critical steps, each designed to ensure accurate placement of catheters and effective pacing. The following procedural steps are outlined:
Post-procedure care following the induction of arrhythmia by electrical pacing involves monitoring the patient for any immediate complications or adverse effects resulting from the procedure. Patients are typically observed for signs of bleeding at the access site, arrhythmias, or other cardiovascular issues. The physician may provide specific instructions regarding activity restrictions and follow-up appointments to discuss the results of the procedure and any further management required based on the findings. It is essential for the healthcare team to ensure that the patient understands the importance of follow-up care and any prescribed medications or lifestyle modifications that may be necessary following the procedure.
| Short Descr | INDCTJ ARRHYTHMIA ELEC PACG | Medium Descr | INDUCTION ARRHYTHMIA ELECTRICAL PACING | Long Descr | Induction of arrhythmia by electrical 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. | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 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. | 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 | 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 | 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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| 2025-01-01 | Changed | Short Description changed. |
| 2017-01-01 | Changed | Moderate (Conscious) Sedation flag removed. See new Moderate Sedation category. |
| Pre-1990 | Added | Code added. |
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