2025 CPT code 93569
Injection procedure during cardiac catheterization for selective unilateral pulmonary arterial angiography, including imaging supervision, interpretation, and report. This is an add-on code and must be reported in addition to the primary procedure code.
Modifiers 26 (professional component) and TC (technical component) may be applicable depending on who performed which aspect of the service. Modifier 59 (distinct procedural service) might be used if the unilateral selective pulmonary angiography is considered distinct from other services.
Medical necessity for 93569 is established when there is a clinical indication to visualize a specific unilateral pulmonary artery, such as in the evaluation of pulmonary embolism, congenital heart disease, or post-surgical vascular abnormalities. The procedure should be medically necessary to determine the appropriate treatment plan.
The cardiologist or interventional cardiologist is responsible for the performance and interpretation of this procedure. This includes the selection of the appropriate arterial branch, catheter placement, injection of contrast, image acquisition, interpretation and reporting of findings.
- Medicine Services and Procedures > Cardiovascular Procedures > Cardiac Catheterization Procedures > Injection Procedures During Cardiac Catheterizations
- Injection Procedures During Cardiac Catheterizations
In simple words: This code describes a special injection during a heart catheterization. A thin tube is carefully placed into a lung artery, and a dye is injected to take pictures of the artery and see how blood is flowing. A doctor watches the pictures, reads the results, and writes a report.
This CPT code, 93569, represents an injection procedure performed during cardiac catheterization. Specifically, it involves the selective introduction and positioning of an angiographic catheter into a unilateral pulmonary artery.Contrast material is injected, and the procedure includes radiologic supervision and interpretation of the resulting images.This code is an add-on code; it must be reported in addition to a primary cardiac catheterization procedure code (e.g., 93451-93461, 93593-93598) to accurately reflect the services provided.
Example 1: A patient presents with suspected pulmonary embolism.A cardiac catheterization is performed, and 93569 is used to report the selective unilateral pulmonary arterial angiography to confirm the diagnosis., A patient has undergone a previous lung surgery and requires evaluation of pulmonary artery blood flow. During a cardiac catheterization, 93569 is added to document the selective unilateral pulmonary angiography to assess the patency of the vessels., A pediatric patient with congenital heart disease requires a selective unilateral pulmonary angiography to evaluate a specific lung artery.The appropriate primary catheterization code and 93569 are both reported.
Detailed documentation should include the indication for the procedure, the specific pulmonary artery catheterized, the amount and type of contrast agent used, the imaging technique employed, and the interpretation of the angiogram with detailed description of findings.Pre-procedure informed consent should also be documented.
** This add-on code is for unilateral selective angiography only; code 93573 is used for bilateral procedures.Always refer to the most recent CPT guidelines to ensure proper coding and billing practices.
- Payment Status: Active
- Modifier TC rule: Modifier TC may be applicable if the physician did not perform all components of the procedure.
- Specialties:Cardiology, Interventional Cardiology, Pediatric Cardiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center