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EP Study elements

Date: Feb 16, 2022

Question:

As we know, as per definition a comprehensive EP study must include the following below, but in the CPT code for 93653 and 93656 it states "when necessary".

  • Right atrial recording
  • Right atrial pacing
  • Right ventricular pacing
  • Right ventricular recording
  • Bundle of His recording

Since these codes are now bundling the ICE and 3D mapping, should we send a query to the MD if one of the elements are missing?  Do we also still have to have the pacing and recording documented in order to assign CPT code without -52/-74 modifiers?

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