Does 93600 require prior authorization?

No, 93600 does not require prior authorization (high confidence). Code is covered without prior authorization.

What is the Medicare reimbursement rate for 93600?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

HCPCS/CPT

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Suspected accessory pathways as the cause of the SVT;or
Adult individuals with congenital heart disease (CHD);or
Atrial flutter;or
Cardiac electrophysiological procedures and studies may include the following when criteria are met (A and B):
Electrophysiological studies (EPS);and
Intracardiac catheter ablation.

CARELON-electrophysiological-studies-2024-07-01 — Electrophysiological Studies

ANTHEM-CG-SURG-55 — CG-SURG-55 Cardiac Electrophysiological Studies (EPS) and Catheter Ablation

Ask Verity about documentation requirements, denial risks, or coverage in your state.