Bundle of His Recording

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