New 2022 Cardiovascular CPT Codes: A Quick Rundown

The ACC, in collaboration with other cardiovascular societies, was successful in obtaining new CPT codes that take effect Jan. 1. The codes were successfully guided through the American Medical Association (AMA) CPT Editorial Panel meetings, valued by the AMA RVS Update Committee (RUC) and then valued by the Centers for Medicare and Medicare Services in the Medicare Physician Fee Schedule final rule in November.

For 2022, two new code sets were designed for Pediatric/Congenital Cardiology. There are three new codes for Endovascular Repair of Congenital Heart and Vascular Defects in a new subsection in the surgery section of the CPT book. The codes are 33894-33897 for endovascular repair of coarctation with stent or angioplasty. In the other set of Pediatric codes, five new codes, 93593-93597, were developed for Cardiac Catheterization for Congenital Defects to replace codes 93530-93533, which have now been deleted. These codes are placed in a new subsection of the CPT book with detailed introductory language. These can be used with normal native or abnormal native connections. Along with these codes, this section includes a new add-on code created for cardiac output measurements. Clinicians and coders should review the new introductory language in the Cardiac Catheterization section to understand these changes.

Other new cardiovascular codes of note include 33370 for cerebral embolic protection (placement and removal) to use with TAVR codes. Code 93319 is a new add-on code for 3D Imaging of Cardiac Structures that should be used as an add on to echocardiography codes. See the CPT book for coding instructions and full details for each new code. The comprehensive electrophysiologic evaluation with ablation codes 93653-93657 are revised for 2022. Codes 93653 and 93656 underwent significant bundling of related services. A new table in the CPT book clarifies what is included in the revised codes and the new parentheticals are under these codes: 93653, 93654 and 93656.

The Evaluation and Management section of the CPT book features new introductory language, revised codes and a new section with codes for principal care management services.

Category III codes are critical for tracking new technologies. Some of the new codes are listed in the coding table below. Please see the CPT book for more codes, introductory language and parentheticals for coding.

New Codes Table

33370

Transcatheter placement and subsequent removal of cerebral embolic protection device(s), including arterial access, catheterization, imaging, and radiological supervision and interpretation, percutaneous (List separately in addition to code for primary procedure)

33894

Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; across major side branches

33895

Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; not crossing major side branches

33897

Percutaneous transluminal angioplasty of native or recurrent coarctation of the aorta

+93319

3D echocardiographic imaging and postprocessing during transesophageal echocardiography, or during transthoracic echocardiography for congenital cardiac anomalies, for the assessment of cardiac structure(s) (eg, cardiac chambers and valves, left atrial appendage, interatrial septum, interventricular septum) and function, when performed (List separately in addition to code for echocardiographic imaging)

93593

Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections

93594

Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections

93595

Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections

93596

Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections

93597

Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections

+93598

Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition to code for primary procedure)

93653

Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry

93654

Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and His bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed

93656

Comprehensive electrophysiologic evaluation including transseptal catheterizations, insertion and repositioning of multiple electrode catheters with intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3-dimensional mapping, intracardiac echocardiography including imaging supervision and interpretation, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, right ventricular pacing/ recording, and His bundle recording, when performed

0623T

Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; data preparation and transmission, computerized analysis of data, with review of computerized analysis output to reconcile discordant data, interpretation and report

0545T

Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach

0643T

Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed, arterial approach

0645T

Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart catheterization, venous angiography, coronary sinus angiography, imaging guidance, and supervision and interpretation, when performed

0646T

Transcatheter tricuspid valve implantation (TTVI)/replacement (TTVI) with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertion, and selective right ventricular or right atrial angiography, when performed

0650T

Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the implantable device to test the function of the device and select optimal permanently programmed values with analysis, review and report by a physician or other qualified health care professional

0692T

Therapeutic ultrafiltration

0695T

Body surface–activation mapping of pacemaker or pacing cardioverter-defibrillator lead(s) to optimize electrical synchrony, cardiac resynchronization therapy device, including connection, recording, disconnection, review, and report; at time of implant or replacement

0696T

Body surface–activation mapping of pacemaker or pacing cardioverter-defibrillator lead(s) to optimize electrical synchrony, cardiac resynchronization therapy device, including connection, recording, disconnection, review, and report; at time of follow-up interrogation or programming device evaluation

0710T

Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; including data preparation and transmission, quantification of the structure and composition of the vessel wall and assessment for lipid-rich necrotic core plaque to assess atherosclerotic plaque stability, data review, interpretation and report

0711T

Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; data preparation and transmission

0712T

Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; quantification of the structure and composition of the vessel wall and assessment for lipid-rich necrotic core plaque to assess atherosclerotic plaque stability

0713T

Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; data review, interpretation and report

 

Current Procedural Terminology (CPT®) is copyright 1966, 1970, 1973, 1977, 1981, 1983-2021 by the American Medical Association. All rights reserved.


Clinical Topics: Cardiac Surgery, Cardiovascular Care Team, Heart Failure and Cardiomyopathies, Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging, Aortic Surgery, Cardiac Surgery and Heart Failure, Interventions and Imaging, Echocardiography/Ultrasound

Keywords: ACC Advocacy, Cardiology, Angioplasty, Cardiac Output, Echocardiography, Endovascular Procedures, Cardiac Catheterization, Fee Schedules, Medicare, Transcatheter Aortic Valve Replacement, Imaging, Three-Dimensional, American Medical Association, Current Procedural Terminology


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