Cardioversion, a medical procedure that restores a normal heart rhythm, can be a complex world for billing. But fear not, this guide will navigate you through the key aspects, ensuring accurate reimbursement and a smooth experience for both you and your patients.
Understanding Cardioversion Types:
Cardioversion comes in two flavors:
External: This non-invasive approach uses electrical paddles or patches on the chest to shock the heart back into rhythm. It's often used for atrial fibrillation and atrial flutter.
Internal: When external cardioversion fails, internal cardioversion involves catheters inserted through blood vessels to reach the heart and deliver the electrical shock directly.
Billing Basics:
CPT Codes: Each type has its own Current Procedural Terminology (CPT) code:
92960: Elective cardioversion (external)
92961: Elective cardioversion (internal; separate procedure)
Key Points:
Use the appropriate code for the type of cardioversion performed.
Bill 92960 as an isolated procedure, not part of critical care or other procedures.
There are no separate codes for defibrillation or biphasic cardioversion.
Informed Consent and Documentation:
Patient Consent: Ensure informed consent is obtained before performing elective cardioversion, outlining the risks and benefits.
Accurate Documentation: Use clear and precise terminology in your charting to differentiate between cardioversion and defibrillation.
Additional Billing Considerations:
Emergency Defibrillation: Not separately billable, it's included in CPR (CPT code 92950).
Critical Care Time: If you perform both cardioversion and critical care, only bill for the critical care time, not the cardioversion itself.
Implantable Defibrillator Programming: If done during cardioversion, it's included and not separately billable.
Cardiac Catheterization and PCI: Internal cardioversion (92961) isn't separately billable with these procedures due to overlapping access and techniques.
Remember:
Accuracy is key! Using the correct codes and documentation ensures proper reimbursement and avoids claim denials.
Stay updated! Billing regulations and coding requirements can change, so keep yourself informed.
Need Help?
For further assistance with medical billing and coding for cardioversion, don't hesitate to contact a reputable medical billing company. They can provide expert guidance and ensure you navigate the complexities with confidence.
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