93600 Bundle of His Recording
The physician places a venous sheath, usually in a femoral vein, using standard techniques. The physician advances an electrical catheter through the venous sheath and into the right heart under fluoroscopic guidance. The physician attaches the catheter to an electrical recording device to allow depiction of the intracardiac electrograms obtained from electrodes on the catheter tip. The physician moves
the catheter tip to the bundle of His, on the anteroseptal tricuspid annulus, and obtains recordings. Alternatively, the physician may obtain similar recordings by placing a catheter into the left ventricular outflow tract via the aorta
Coding Tips
1. Procedure code 93600 reports bundle of His recording only. For comprehensive electrophysiologic evaluation bundle of His recording, see 93619–93622.
2. Fluoroscopy is included in 93600 and is not reported separately.
3. Device edits apply to the code in this section.
4. Physician Reporting: This code has both a technical and professional component. To report only the professional component, append modifier 26. To report only the technical component, append modifier TC. To report the complete procedure (i.e., both the professional and technical components), submit without a modifier.
Facility HCPCS Coding
HCPCS Level II codes are used to report the supplies provided during the procedure. Hospitals should separately report supplies used during cardiac invasive procedures. Refer to chapter 1 for more information regarding appropriate billing of supplies.
C1730 Catheter, electrophysiology, diagnostic, other than 3D mapping (19 or fewer electrodes)
C1731 Catheter, electrophysiology, diagnostic, other than 3D mapping (20 or more electrodes)
C1732 Catheter, electrophysiology, diagnostic/ablation, 3D or vector mapping
C1733 Catheter, electrophysiology, diagnostic/ablation, other than 3D or vector mapping, other than cool-tip
C2630 Catheter, electrophysiology, diagnostic/ablation, other than 3D or vector mapping, cool tip
C1766 Introducer sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away
ICD-9-CM Codes
426.0 Atrioventricular block, complete
426.10 Unspecified atrioventricular block
426.11 First degree atrioventricular block
426.12 Mobitz (type) II atrioventricular block
426.13 Other second degree atrioventricular block
426.2 Left bundle branch hemiblock
426.3 Other left bundle branch block
426.4 Right bundle branch block
426.50 Unspecified bundle branch block
426.51 Right bundle branch block and left posterior fascicular block
426.52 Right bundle branch block and left anterior fascicular block
426.53 Other bilateral bundle branch block
426.54 Trifascicular block
426.6 Other heart block
426.7 Anomalous atrioventricular excitation
426.81 Lown-Ganong-Levine syndrome
426.89 Other specified conduction disorder
426.9 Unspecified conduction disorder
427.0 Paroxysmal supraventricular tachycardia
427.1 Paroxysmal ventricular tachycardia
427.2 Unspecified paroxysmal tachycardia
427.31 Atrial fibrillation
427.32 Atrial flutter
427.41 Ventricular fibrillation
427.42 Ventricular flutter
427.5 Cardiac arrest
427.60 Unspecified premature beats
427.61 Supraventricular premature beats
427.69 Other premature beats
427.81 Sinoatrial node dysfunction
427.89 Other specified cardiac dysrhythmias
427.9 Unspecified cardiac dysrhythmia
779.85 Cardiac arrest of newborn
780.2 Syncope and collapse
780.4 Dizziness and giddiness
CCI Edits
93600 00410, 00537, 0178T-0179T, 0180T, 0213T, 0216T, 0228T, 0230T, 12001-12007, 12011-12057, 13100-13153, 36000, 36005-36013, 36120-36140, 36400-36410, 36420-36430, 36440, 36555-36556, 36568-36569, 36600, 36640, 37202, 43752, 51701-51703, 62310-62319, 64400-64435, 64445-64450, 64479, 64483, 64490, 64493, 64505-64530, 75896, 76000-76001, 76942, 76998, 77001-77002, 92960-92961, 93000-93010, 93040-93042, 93318, 93451-93461, 93530-93533, 93563, 93565-93568, 94002, 94200, 94250, 94680-94690, 94770, 95812-95816, 95819, 95822, 95829, 95955, 96360, 96365, 96372, 96374-96376, 99148-99150
Device Edits
93600 C1730, C1731, C1732, C1733, C1766, C1892, C1893, C1894, C2629, C2630
