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Official Description

Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 93624 refers to an electrophysiologic follow-up study designed to assess the effectiveness of therapy for cardiac arrhythmias. This procedure involves pacing and recording activities within the heart, as well as the induction or attempted induction of arrhythmia. Following a previously conducted therapy aimed at treating a cardiac arrhythmia, this follow-up study is crucial for evaluating the success of the treatment. During the procedure, one or more catheters equipped with recording and stimulating electrodes are inserted into the access blood vessels, typically through the groin area. These catheters are then navigated through the vascular system to reach the right atrium and right ventricle of the heart. Once positioned, the recording electrodes capture and document the heart's electrical activity, while the stimulating electrodes are used to pace the heart. The procedure may involve inducing arrhythmia or attempting to do so by pacing at various rates or through programmed stimulation, which utilizes timed electrical impulses. Additionally, the catheters may be repositioned as needed during the induction of arrhythmia, and pacing or stimulation can occur at multiple sites within the heart. The data collected from these measurements and recordings, along with the pacing procedures and arrhythmia induction attempts, are then analyzed and compared to previous electrophysiologic studies conducted before the therapy. This comparison is essential for determining the overall effectiveness of the arrhythmia treatment provided to the patient.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The electrophysiologic follow-up study with pacing and recording, as described by CPT® Code 93624, is indicated for the evaluation of the effectiveness of therapy administered for cardiac arrhythmias. This procedure is typically performed after a separately reportable therapy aimed at treating arrhythmias has been conducted. The indications for this follow-up study may include:

  • Assessment of Therapy Effectiveness The primary indication is to determine how well the previous treatment for arrhythmia has worked.
  • Monitoring Arrhythmia The procedure is used to monitor the presence and characteristics of arrhythmias post-therapy.
  • Evaluation of Symptoms It may be indicated for patients experiencing ongoing symptoms related to arrhythmias despite prior treatment.

2. Procedure

The procedure for CPT® Code 93624 involves several critical steps to ensure a comprehensive evaluation of the heart's electrical activity and the effectiveness of the arrhythmia therapy. The steps include:

  • Catheter Insertion Initially, one or more catheters that contain recording and stimulating electrodes are inserted into the access blood vessel, typically located in the groin area. This step is crucial as it allows the catheters to be threaded through the vascular system and positioned within the heart.
  • Catheter Positioning Once the catheters are in place, they are navigated into the right atrium and right ventricle of the heart. Proper positioning is essential for accurate measurement and recording of the heart's electrical activity.
  • Recording Electrical Activity The recording electrode catheters measure and document the electrical activity occurring within the heart. This data is vital for assessing the heart's rhythm and identifying any abnormalities.
  • Pacing the Heart The stimulating electrode catheters are utilized to pace the heart. This involves delivering electrical impulses to stimulate heartbeats, which can help in evaluating the heart's response to pacing.
  • Induction of Arrhythmia The procedure may include attempts to induce arrhythmia through pacing at various rates or by using programmed stimulation. This step is critical for understanding the arrhythmia's characteristics and behavior.
  • Catheter Repositioning During the induction of arrhythmia, the catheters may be repositioned as necessary to optimize the pacing and recording process. This flexibility allows for a more thorough evaluation of different areas of the heart.
  • Data Evaluation Finally, the measurements and recordings obtained during the procedure, along with the pacing and arrhythmia induction attempts, are evaluated. This data is compared to previous electrophysiologic studies conducted prior to the therapy to assess the effectiveness of the treatment.

3. Post-Procedure

After the electrophysiologic follow-up study is completed, patients may be monitored for any immediate complications or adverse effects related to the procedure. It is essential to assess the patient's recovery and ensure that they are stable before discharge. The results of the study will be analyzed and documented, providing critical information regarding the effectiveness of the arrhythmia therapy. Follow-up appointments may be scheduled to discuss the findings and any further treatment options if necessary. Additionally, patients may receive instructions regarding activity restrictions or signs and symptoms to watch for following the procedure.

Short Descr EP F-UP STUDY PACG&REC
Medium Descr ELECTROPHYSIOLOGIC FOLLOW-UP W/PACG&REC W/ARRHYT
Long Descr Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia
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.
51 Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d).
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.)
AQ Physician providing a service in an unlisted health professional shortage area (hpsa)
CR Catastrophe/disaster related
GC This service has been performed in part by a resident under the direction of a teaching physician
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
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Notes
2025-01-01 Changed Short and Medium Descriptions 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.
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