CPT code 93573 is used for a procedure involving selective catheterization of the pulmonary artery with angiography on both sides.
CPT code 93573 is used to describe a procedure involving a selective catheterization of the pulmonary artery for angiography, performed bilaterally. This means that a catheter is inserted into the pulmonary artery, which carries blood from the heart to the lungs, and an angiography is conducted on both sides. Angiography is a medical imaging technique used to visualize the inside of blood vessels and organs, particularly to identify any blockages or abnormalities. This procedure is typically used to assess pulmonary circulation and diagnose conditions affecting the lungs and heart.
For CPT code 93573, which involves a specific procedure related to catheterization and angiography, the following modifiers may be applicable:
1. Modifier 26 - Professional Component: This modifier is used when the service provided is the professional component only, such as the interpretation of the angiography results.
2. Modifier TC - Technical Component: This modifier is used when the service provided is the technical component only, such as the use of equipment and supplies for the procedure.
3. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day. It may be necessary if multiple procedures are performed that are not typically reported together.
4. Modifier 76 - Repeat Procedure by Same Physician: This modifier is used when the same procedure is repeated by the same physician on the same day.
5. Modifier 77 - Repeat Procedure by Another Physician: This modifier is used when the same procedure is repeated by a different physician on the same day.
6. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: This modifier is used if there is an unplanned return to the procedure room for a related procedure during the postoperative period.
7. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: This modifier is used when an unrelated procedure is performed by the same physician during the postoperative period.
8. Modifier 80 - Assistant Surgeon: This modifier is used when an assistant surgeon is required for the procedure.
9. Modifier 81 - Minimum Assistant Surgeon: This modifier is used when a minimum assistant surgeon is required for the procedure.
10. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): This modifier is used when an assistant surgeon is required because a qualified resident surgeon is not available.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement. Always verify with the latest coding guidelines and payer-specific requirements, as these can vary.
The CPT code 93573 is subject to reimbursement by Medicare, but its eligibility and the amount reimbursed depend on several factors, including its inclusion in the Medicare Physician Fee Schedule (MPFS) and the specific guidelines set by the Medicare Administrative Contractor (MAC) for the region where the service is provided.
The MPFS outlines the payment rates for services covered under Medicare Part B, and each MAC may have additional local coverage determinations that affect reimbursement.
Therefore, healthcare providers should verify the reimbursement status of CPT code 93573 by consulting the MPFS and the relevant MAC's policies to ensure compliance and accurate billing.
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