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Electrophysiologic study – CPT 93623 - Adequacy check Vs Diagnostic study

Date: Oct 6, 2023

Question:

During EPS study, at the end of the procedure note it was mentioned as “Drug study with arrhythmia induction, Adenosine was infused and repeat arrhythmia induction was performed with no inducible sustained arrhythmias”. Is the physician trying to check the adequacy of the procedure performed? If yes, should we deny CPT 93623 based on NCCI Policy Guidelines? Or the physician is performing a diagnostic study in order to see if there is any arrhythmogenic foci left over to ablate and therefore CPT 93623 should be billed separately?

Question ID : 19498
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