2025 CPT code 93587

Venography of venovenous collaterals originating at or above the heart, performed during a cardiac catheterization procedure for congenital heart defects.This is an add-on code.

This is an add-on code reported only once per session. It must be used with a primary cardiac catheterization code (93593, 93594, 93596, or 93597) for congenital heart defects.

Modifiers may be applicable depending on the circumstances of the service. Consult the most recent CPT guidelines and payer-specific instructions.

Medical necessity is established based on the clinical indication for cardiac catheterization and the need to assess venous drainage patterns to manage a congenital heart defect.Appropriate documentation is essential.

The cardiologist or interventional cardiologist is responsible for performing the venography, including catheter placement, contrast injection, image interpretation, and report generation.

IMPORTANT This code is an add-on code and should be reported with one of the primary cardiac catheterization codes for congenital heart defects (93593, 93594, 93596, 93597).Code 93588 is used for venovenous collaterals originating below the heart.

In simple words: The doctor uses a catheter (a thin, flexible tube) and X-rays to take pictures of the veins in the upper part of the body during a heart catheterization procedure. This helps them see any unusual pathways for blood flow. This is an additional test done during a main heart test.

This CPT code, 93587, reports venography of venovenous collaterals originating at or above the heart (e.g., from the innominate vein). The procedure is performed during a cardiac catheterization session for the evaluation of one or more congenital heart defects.It includes catheter placement within the specified venous structures, contrast injection, image acquisition, radiological supervision, interpretation, and report generation.This is an add-on code and must be reported in addition to the primary cardiac catheterization code (93593, 93594, 93596, or 93597).

Example 1: A patient presents with a complex congenital heart defect, including anomalous venous drainage.During right heart catheterization (93594), the physician identifies venovenous collaterals originating superior to the heart, necessitating 93587 for complete documentation., A pediatric patient undergoes a combined right and left heart catheterization (93597) for evaluation of transposition of the great arteries.Abnormal venous drainage patterns are noted, requiring venography of the collaterals above the heart using code 93587., An adult with a history of surgically corrected congenital heart defect requires follow-up cardiac catheterization. Anomalous venous connections are suspected, and during right heart catheterization (93593), 93587 is used to image and document the collaterals.

* Pre-procedure clinical history and physical examination.* Indications for the procedure.* Images of the venography.* Report including description of findings.* Anatomic diagrams and documentation of catheter placement points.

** Accurate anatomical descriptions and image documentation are essential for proper coding and reimbursement.

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