2025 CPT code 93582
(Active) Effective Date: N/A Revision Date: N/A Cardiac Catheterization - Percutaneous Transcatheter Closure Procedures Cardiovascular System Feed
Percutaneous transcatheter closure of a patent ductus arteriosus (PDA).
Modifiers 26 (professional component) and TC (technical component) may be applicable depending on whether the professional and technical components of the service are billed separately.
Medical necessity is established when a patient demonstrates clinical symptoms (e.g., heart failure, shortness of breath) attributable to a hemodynamically significant PDA.The procedure should be deemed the most appropriate treatment option by a qualified cardiologist.
The physician or qualified healthcare professional is responsible for the entire procedure:vascular access, catheter navigation, device deployment, and confirmation of successful closure. Post-procedure care and follow-up are also part of the clinical responsibility.
In simple words: This medical code represents a minimally invasive procedure to close a hole between two major blood vessels in the heart (aorta and pulmonary artery) that’s present from birth. A thin tube (catheter) is guided through a blood vessel to the heart, where a small device is used to seal the opening.Imaging is used throughout to ensure correct placement.
This CPT code describes the percutaneous transcatheter closure of a patent ductus arteriosus (PDA), a congenital heart defect.The procedure involves using a catheter-based technique to close the abnormal blood flow passageway between the aorta and the pulmonary artery. Closure is typically achieved using a device delivered through a catheter, offering a minimally invasive approach to correct this congenital heart defect.The procedure includes all necessary steps such as catheter placement, device deployment, and confirmation of proper positioning and function. Imaging supervision and interpretation are also inherent to the code.
Example 1: A newborn infant is diagnosed with a PDA. The physician performs a percutaneous transcatheter closure using a coil.Fluoroscopy is used to guide the catheter and confirm coil placement., A premature infant with a PDA undergoes transcatheter closure. The physician uses a smaller catheter and device appropriate for the infant’s size.Hemodynamic monitoring is employed during the procedure., An adult with a PDA that is causing symptoms of heart failure requires a transcatheter closure.The physician uses a larger device and might employ additional imaging modalities to ensure proper placement. Post-procedure monitoring is crucial.
** Appropriate use of this code depends on accurate diagnosis and clinical judgment.Consult with qualified medical professionals and refer to the most current CPT and payer guidelines for correct billing practices.
- Revenue Code: P2F (Major Procedure, Cardiovascular - Other)
- RVU: The RVUs for this code will vary based on the specific circumstances of the procedure and the payer.Consult the appropriate fee schedule for accurate RVU values.
- Global Days: This information is not explicitly provided in the source. Consult the official CPT guidelines and payer-specific policies.
- Payment Status: Active
- Modifier TC rule: Modifier TC is applicable if the technical component is billed separately.This generally involves the facility billing for the technical aspects of the procedure, while the physician bills separately for professional services.
- Fee Schedule: Fee schedules vary by payer and geographic location.Historical fee data is not provided here; consult relevant fee schedules for historical information.
- Specialties:Cardiology, Cardiovascular Surgery, Interventional Cardiology, Pediatric Cardiology
- Place of Service:Hospital Inpatient, Hospital Outpatient, Ambulatory Surgical Center