2025 CPT code 93503
Effective Date: N/A Medicine - Cardiovascular Procedures Feed
Insertion and placement of a flow-directed catheter (e.g., Swan-Ganz) for monitoring purposes.
Modifiers may apply based on specific circumstances (22, 52, 59, 76, 77, 78, 79, 80, 81, 82, 99 and other less common modifiers). Refer to current year's CPT guidelines to validate correct use.
Medical necessity must be established by documenting the clinical condition requiring continuous hemodynamic monitoring.
In simple words: A Swan-Ganz catheter is inserted into a large vein and guided to the heart to measure pressures and other heart functions. This helps doctors monitor and manage patients with serious heart conditions or those in critical care.
This code represents the insertion and placement of a flow-directed catheter, such as a Swan-Ganz catheter, for hemodynamic monitoring. This procedure is used to assess pressures in the pulmonary artery, right atrium, and right ventricle, as well as indirectly measuring left atrial pressure. This information is crucial for managing critically ill patients in intensive care or cardiac care units.
Example 1: A patient in shock requires continuous monitoring of heart function and blood flow. A Swan-Ganz catheter is inserted to guide treatment., A patient with severe heart failure needs assessment of cardiac output and pulmonary artery pressure. A Swan-Ganz catheter is placed for monitoring and management., A patient undergoing major surgery requires close monitoring of hemodynamic stability. A Swan-Ganz catheter is inserted to assess and maintain appropriate fluid balance and cardiac function.
Documentation should include the reason for catheter placement, insertion site, placement confirmation (e.g., fluoroscopy), and initial pressure readings. Subsequent monitoring notes should justify continued use.
- Specialties:Critical Care Medicine, Cardiology, Anesthesiology
- Place of Service:Inpatient Hospital, Emergency Room - Hospital