2025 CPT code 93660

Evaluation of cardiovascular function using a tilt table, with continuous ECG and intermittent blood pressure monitoring, with or without pharmacological intervention.

Follow AHA and NICE guidelines for appropriate patient selection and test interpretation.Documentation requirements should be strictly adhered to for accurate coding and reimbursement.

Modifiers 25 (significant, separately identifiable E/M service), 26 (professional component), and 51 (multiple procedures) may be applicable under specific circumstances.

The tilt table test (93660) is medically necessary when used to evaluate patients with suspected neurocardiogenic syncope, especially when other diagnostic methods have not revealed the cause of the syncope.It should only be performed in patients with syncope and collapse (ICD-10 code R55).

The provider is responsible for positioning the patient, connecting monitoring devices (ECG, blood pressure, pulse), assessing resting parameters, tilting the table, monitoring the response during tilt, administering medication (if necessary), and interpreting the results.

IMPORTANT For testing of autonomic nervous system function, consider codes 95921 and 95924.

In simple words: The doctor uses a special table that can be tilted to check how your heart works when you change positions.They connect you to machines that monitor your heart and blood pressure. The table is tilted, and the doctor watches to see how your body reacts. Sometimes, medicine is given to speed up your heart rate.This test helps determine if your fainting spells are due to a specific heart condition.

This procedure involves assessing cardiovascular function by placing the patient on a tilt table and monitoring their response. Continuous electrocardiogram (ECG) and intermittent blood pressure monitoring are employed. The patient's position is adjusted to a 60-80 degree angle for approximately 45 minutes.Pharmacological interventions may be used to increase heart rate, and the patient's response is observed. This test is indicated for suspected neurocardiogenic (reflex mediated) syncope.

Example 1: A 35-year-old patient presents with recurrent episodes of syncope. The physician orders a tilt table test (93660) to determine if neurocardiogenic syncope is the cause. The test is performed with continuous ECG and blood pressure monitoring, and no medication is administered., A 60-year-old patient reports syncope during episodes of hypotension.A tilt table test (93660) is performed with continuous ECG, blood pressure monitoring, and intravenous administration of isoproterenol to induce tachycardia and assess the response. , A 22-year-old patient experiences fainting upon standing. The physician performs a tilt table test (93660), documenting continuous ECG, intermittent blood pressure, and a negative response. Documentation includes a note that no medication was administered because the patient's symptoms were not strongly suggestive of medication-induced syncope. The provider owns the tilt table.

Detailed patient history and physical examination, including a description of the syncopal episodes.Complete documentation of the tilt table test, including the patient's resting parameters, the angle and duration of tilt, blood pressure and ECG tracings at regular intervals, and any pharmacological interventions used.A clear interpretation of the test results and their correlation with the patient's clinical presentation.

** This code should not be reported for testing autonomic nervous system function. Codes 95921 and 95924 are more appropriate for those purposes.Insurance payers often require prior authorization for this test.

  • Revenue Code: M5D (Specialist - Other)
  • Global Days : This code may be reported as a global procedure if the provider owns the tilt table equipment. If not, modifier 26 (professional component) should be appended.A separately billable E/M code is only permissible with modifier 25 if a significant, separately identifiable E/M service is documented.
  • Payment Status: Active
  • Modifier TC rule: If the provider does not own the tilt table, modifier 26 (professional component) is used; the technical component is billed separately by the facility.
  • Specialties:Cardiology
  • Place of Service:Office, Hospital Outpatient
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