2025 CPT code 93574
(Active) Effective Date: N/A Injection procedure - Cardiovascular Medicine Feed
Injection procedure during cardiac catheterization, including imaging supervision, interpretation, and report, for selective pulmonary venous angiography of each distinct pulmonary vein.
Modifiers may be applicable in specific scenarios, such as reduced services (modifier 52) or discontinued procedures (modifier 53).
Medical necessity must be supported by documentation demonstrating the clinical rationale for the selective pulmonary venous angiography, such as suspected pulmonary venous obstruction, abnormal pulmonary venous drainage, or assessment of pulmonary venous pressure and flow.
When the patient is prepped and anesthetized, and during the same session as a primary cardiac catheterization procedure, the provider performs this add-on procedure. This involves inserting a catheter into a pulmonary vein, injecting dye, and viewing X-ray images to observe dye movement through the lung's blood vessels. The provider supervises the imaging, interprets the images, and prepares a report. This code is reported once for each distinct pulmonary vein catheterized.
In simple words: During a cardiac catheterization procedure, the doctor inserts a catheter into a pulmonary vein and injects dye to visualize the vein and observe blood flow. The doctor oversees the imaging, interprets the images, and creates a report.
Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac catheterization (List separately in addition to code for primary procedure)
Example 1: A patient undergoing left heart catheterization for mitral valve stenosis also requires selective pulmonary venous angiography to assess pulmonary venous pressure and flow. Code 93574 is reported in addition to the left heart catheterization code., A patient with pulmonary hypertension undergoes right heart catheterization with selective pulmonary venous angiography to evaluate pulmonary venous abnormalities. Code 93574 is used along with the right heart catheterization code., During a congenital heart defect evaluation, a child has cardiac catheterization with selective angiography of two distinct pulmonary veins. Code 93574 is reported twice, along with the appropriate congenital cardiac catheterization code.
Documentation should include details of the cardiac catheterization procedure, the reason for selective pulmonary venous angiography, the number of distinct pulmonary veins examined, the imaging findings, and the interpretation report.
** Code 93574 was introduced in 2023 to specifically address selective pulmonary venous angiography. It is important to ensure the documentation clearly identifies each distinct pulmonary vein examined to support multiple units of the code.
- Specialties:Cardiology, Interventional Cardiology, Pediatric Cardiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center