2025 CPT code 93662
(Active) Effective Date: N/A Revision Date: N/A Cardiovascular - Intracardiac Electrophysiological Procedures/Studies Cardiovascular Procedures Feed
Intracardiac echocardiography during a therapeutic or diagnostic intervention.
Modifiers 26 (professional component) and TC (technical component) may be appended as appropriate depending on the service provided and payer requirements.The guidelines specify when these modifiers should and should not be used.
Medical necessity for 93662 is established when intracardiac echocardiographic guidance is required to improve the safety and efficacy of a concurrent therapeutic or diagnostic cardiovascular intervention.The physician should document the clinical justification for using intracardiac echocardiography in the medical record.
The physician is responsible for performing the intracardiac echocardiography, interpreting the images, and using this information to guide the primary interventional procedure.This typically requires expertise in both echocardiography and the relevant interventional technique.
- Cardiovascular Procedures
- Cardiovascular Procedures > Intracardiac Electrophysiological Procedures/Studies
In simple words: This is an extra test done during a heart procedure. A tiny ultrasound device is placed in a blood vessel to take pictures of the inside of the heart.These pictures help the doctor during the main heart procedure.
This add-on code reports intracardiac echocardiography performed during a therapeutic or diagnostic cardiovascular intervention.The procedure involves introducing a small ultrasound probe into a vein (typically femoral) and advancing it to the heart for imaging. This imaging is used to guide and monitor the intervention. The code includes imaging supervision and interpretation.
Example 1: A patient is undergoing a catheter ablation procedure for atrial fibrillation.Intracardiac echocardiography (93662) is used to visualize the ablation site and surrounding structures, ensuring accurate energy delivery and minimizing risk of complications., A patient requires placement of a cardiac stent.Real-time intracardiac echocardiography (93662) guides stent deployment, confirming accurate placement and identifying any potential complications., A patient undergoes a diagnostic cardiac catheterization. Intracardiac echocardiography (93662) is used to assess valvular function and chamber dimensions in addition to pressure measurements, providing a comprehensive picture of the cardiac anatomy and physiology.
Detailed procedural notes including the indication for intracardiac echocardiography, the specific interventional procedure performed concurrently, images from the procedure and the interpretation of the images.
** This is an add-on code and should only be reported with an appropriate primary procedure code. The CPT manual should be consulted for the most up-to-date information on code usage and reimbursement guidelines.
- Payment Status: Active
- Modifier TC rule: TC modifier is applicable for the technical component of this service.
- Specialties:Cardiology, Cardiovascular Surgery, Interventional Cardiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Cardiac Catheterization Laboratory