Beginning Jan. 1, 2022, there are new Current Procedural Terminology (CPT®) codes in place for Pediatric Congenital Heart Disease:
Affected States
These CPT code changes affect all Employer & Individual plans and Exchange plans in the following states:
The new codes and their descriptions are listed below.
Cardiac Catheterization for Congenital Defects CPT Codes
| CPT code | Code description |
|---|---|
| 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); abnormal 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) |
Endovascular Repair of Congenital Heart and Vascular Defects CPT Codes
| CPT code | Code description |
|---|---|
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 |
Questions?
For more information, review the American College of Cardiology’s article announcing the new codes.