2025 CPT code 93575
(Active) Effective Date: N/A Revision Date: N/A Cardiovascular Procedure - Cardiac Catheterization Medicine Feed
Injection procedure during cardiac catheterization for selective pulmonary angiography of MAPCAs arising from the aorta or its systemic branches; each distinct vessel.
Modifiers may apply depending on the circumstances of the service. Refer to the CPT manual for appropriate modifier usage.
The medical necessity for this procedure is established by the presence of congenital heart defects and the need to assess the anatomy and hemodynamics of MAPCAs. This helps guide treatment decisions.
The cardiologist or interventional cardiologist is responsible for performing the procedure. This involves cannulating the MAPCA, injecting contrast media, interpreting the resulting angiogram, and preparing a report of findings.Fluoroscopy support staff assists with imaging.
In simple words: During a heart catheterization procedure to check for a congenital heart problem, a special dye is injected into a major artery supplying blood to the lungs. This helps doctors see the artery and blood flow using X-ray imaging.The doctor watches the images and creates a report. This code is for each separate artery checked this way.
This CPT code, 93575, represents an injection procedure performed during cardiac catheterization.Specifically, it involves the selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) originating from the aorta or its systemic branches. The procedure includes the selective introduction and positioning of the angiographic catheter, injection of contrast material, and radiologic supervision and interpretation. This code is reported separately, in addition to the primary cardiac catheterization procedure code, and is used for each distinct vessel examined.
Example 1: A patient with a congenital heart defect and MAPCAs undergoes cardiac catheterization.93575 is reported for each MAPCA visualized and assessed. The primary procedure code (e.g. 93593) is billed along with 93575 for each individual vessel., A patient with complex congenital heart disease requires extensive pulmonary angiography.Multiple MAPCAs are identified, necessitating separate reporting of 93575 for each vessel (up to the allowed maximum per day)., During a cardiac catheterization for congenital heart defect, the physician identifies several MAPCAs, some of which are significantly large and require detailed imaging and analysis. 93575 is used to report the imaging, injection, and interpretation separately for each vessel.
Detailed medical history including congenital heart defect information, pre-procedure imaging,angiographic images, catheterization report detailing the number of MAPCAs cannulated and assessed, and the physician's interpretation of the findings.
** The number of units reported should be consistent with the number of distinct MAPCAs cannulated and evaluated during the procedure, keeping within the MUE limitations. Documentation must support the medical necessity and the number of units billed.
- Revenue Code: 0361
- RVU: The RVUs for this code will vary based on the geographic location and other factors.Consult your local Medicare fee schedule for specific values.
- Global Days: Not applicable. This is an add-on code.
- Payment Status: Active
- Modifier TC rule: Not applicable. This is an injection procedure.
- Fee Schedule: Fee schedules vary by payer and location.Consult fee schedules from prior years for historical data.
- Specialties:Cardiology, Interventional Cardiology, Pediatric Cardiology, Congenital Cardiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center