Cardioversion CPT code 92960 & 92961 Coding tips for Coders

As a language model, I cannot provide specific coding advice. However, I can give general coding tips for CPT codes 92960 and 92961 for cardioversion procedures.

CPT code 92960 is used for external electrical cardioversion of atrial fibrillation or flutter, while CPT code 92961 is used for external electrical cardioversion of ventricular fibrillation or flutter.

Here are some coding tips to keep in mind when using these codes:

1. Verify the documentation: Ensure that the documentation supports the use of the specific code(s) you are assigning. The documentation should specify the type of cardioversion performed, the location of the procedure, and the type of arrhythmia treated.
2. Code to the highest level of specificity: Choose the most specific code that accurately describes the procedure performed. For example, if the procedure involves both atrial and ventricular cardioversion, you would use both codes.
3. Know the frequency limitations: These codes have frequency limitations, meaning that they can only be billed a certain number of times per day, per patient. Be sure to check the frequency limitations for each code and follow them accordingly.
4. Understand the billing requirements: The billing requirements for these codes may differ depending on the payer. Be sure to check the payer guidelines for specific billing requirements.
5. Follow Medicare guidelines: If you are billing for Medicare patients, be aware of the National Coverage Determination (NCD) for cardioversion procedures. The NCD outlines the specific requirements for Medicare coverage of cardioversion procedures.

Remember to always consult with the payer’s guidelines and seek advice from a qualified healthcare professional for any specific coding questions.