On Demand: Advanced EP Ablation Case Studies-Presentation Slides

Presentation Slides

Pdf Summary

The 2025 MedAxiom presentation on Advanced Electrophysiology (EP) Ablation Case Studies, led by Jammie Quimby, Director of Coding, Revenue Cycle Solutions, provides an in-depth review of coding practices, procedural highlights, and detailed clinical case examples related to complex cardiac ablation procedures. The presentation emphasizes the importance of accurate coding for EP studies and various ablation types—specifically Supraventricular Tachycardia (SVT), Ventricular Tachycardia (VT), and Pulmonary Vein Isolation (PVI) for atrial fibrillation (AFib).<br /><br />Key coding insights clarify the use of primary CPT codes (93653 for SVT ablation, 93654 for VT ablation, and 93656 for PVI ablation) and add-on codes (93655 for additional discrete arrhythmia mechanisms and 93657 for left/right atrial ablation after PVI). The material addresses coding nuances, including the rationale for multiple mechanism ablations, when and how to report add-on codes, and guidelines for components bundled into comprehensive codes. Specialized topics include intracardiac electrogram recordings, transseptal puncture, medication testing, and NCCI edits relevant to Medicare billing.<br /><br />The lecture is supplemented by detailed procedural case studies covering a variety of clinical scenarios: PVI via pulsed field ablation (PFA), SVT ablations with linear lesions, VT ablations with substrate mapping, combined PVI with Watchman device implantation, and complex multi-mechanism flutter ablations. Each case includes indications, anesthesia details, mapping and ablation techniques, intraprocedural monitoring, post-ablation validation, and comprehensive coding based on clinical documentation.<br /><br />The presentation concludes with disclaimers reminding coders and providers that coding accuracy and compliance are their responsibilities and encourages consultation with specialists. It also notes that MedAxiom materials are for educational purposes only and do not constitute billing or legal advice. <br /><br />This resource offers a comprehensive clinical and coding reference for electrophysiologists, coders, and reimbursement professionals engaged in advanced EP ablation procedures in 2025.

Keywords

Advanced Electrophysiology

EP Ablation

Coding Practices

Supraventricular Tachycardia

Ventricular Tachycardia

Pulmonary Vein Isolation

CPT Codes

Intracardiac Electrogram

Pulsed Field Ablation

Medicare Billing