Cpt code for cardiac ablation

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Nursing interventions play a crucial role in the care of patients undergoing cardiac ablation. The primary nursing interventions for these patients include pre-procedure preparation, monitoring during the procedure, and post-procedure care. Pre-procedure preparation is an important part of ensuring the safety and success of the cardiac ablation.It has been recognized that scheduling ablation procedures with anesthesiology service providing the sedation or general anesthesia may result in the increased total cost of the procedure [3, 4]; this is likely the result of the direct anesthesiology service cost as well as the requirement for post-anesthesia recovery …• Medicare does not have any national or local policies for cardiac catheter ablation procedures, coverage is dependent on documented medical necessity. Private payer coverage varies by plan. • Pulmonary vein isolation (PVI) AF ablations are classified by CPT® code 93656. 1. for outpatient hospital and physician coding.In patients with cavotricuspid isthmus (CTI)-dependent atrial flutter, ablation along the CTI is often a routine and straightforward procedure. However, certain aspects of the regional anatomy can pose technical challenges such that bidirectional block across the CTI can be difficult to achieve. 1 Using a case example, we review common ...Patient was scheduled for a cardiac ablation. Anesthesiologist cancelled procedure because patient had extremely high blood pressure and patient had a full breakfast. ... I have a provider that is questioning the additional ablation code CPT 93655 93655 for CTI or right/left side atrial flutter after a fib ablation. Other examples include ...This document addresses two cardiac electrophysiological procedures and studies, including electrophysiological studies (EPS) and catheter ablation. EPS with programmed ventricular stimulation (PVS) is used as a complement to a full workup, to document the inducibility and type of induced arrhythmia, (for example, atrial fibrillation ...Fluoroscopy guided percutaneous radiofrequency catheter ablation for arrhythmia (822241000000101) OPCS-4 code(s): K57.4 Percutaneous transluminal ablation of accessory pathway K62.1 Percutaneous transluminal ablation of pulmonary vein to left atrium conducting system K62.2 Percutaneous transluminal ablation of atrial wall for …

In conclusion, the CPT code for the cardiac catheterization ablation procedure is 93655. This minimally invasive procedure is used to treat arrhythmias by …IntracardiacEl ectrophysiology Study Coding Overview 6–1 CommonlyBill edn Iacrt ardiac ecEl trophysiology Sudt y Scenarios 6–2 Intracardiac Catheter Ablation Coding Overview 6–7 Commonly Bedlli Intracardiac Catheter Ablation Scenarios 6–8 7 &DUGLDF 'HYLFH 0RQLWRULQJ Commonly Billed Cardiac Device Monitoring Scenarios 7–1 8 & &RGHV Reimbursement guides, coding, C-code finder, and other resources. We are committed to providing valuable resources to our customers. To that end, we have developed comprehensive online reimbursement resources to help you sort through the complexities of reimbursement for certain cardiac rhythm management and cardiac ablation procedures. Extensive operative ablation: Services in limited ablation definition and additional ablation of atrial tissue to eliminate supraventricular dysrhythmias. This must include operative ablation that involves either the right atrium, the atrial septum or left atrium in continuity with the atrioventricular annulus. 1. Introduction. Cavotricuspid isthmus (CTI) dependent atrial flutter (AFL), also known as typical AFL, is the most common macro-reentrant atrial tachycardia which can lead to thromboembolic events and heart failure ().As the critical zone of slow conduction, CTI is the ideal target to interrupt the reentrant circuit (2, 3).Currently, …NOVEMBER 2, 2021. CMS released the CY 2022 Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Prospective Payment System (OPPS) Final Rules. The cardiac ablation codes were finalized as proposed. The final rule puts forward a CY 2022 MPFS Conversion Factor (CF) of $33.5983.What is the CPT code for cardiac ablation? The CPT code for cardiac ablation is 93656. This code is used to report the ablation of cardiac tissue to treat a variety of arrhythmias, including atrial fibrillation and ventricular tachycardia.

CPT® Code CPT® Description RVUs Facility Non-Facility APC Payment7 ICD-10-PCS4,6 MS-DRG Payment5,7 252 $23,482 253 $17,862 ... n Catheter placement, dependent upon anatomical location n Angiography, dependent upon anatomical location n Use as part of embolization procedure as applicable 11.74Results: There were 2,083 patients who underwent ablation for PerAF. Among those, 1,086 (52%) had ablation as a first-line treatment. Compared to patients treated …The Perclose™ ProStyle™ Suture-Mediated Closure and Repair (SMCR) System enables an improved post-cardiac ablation experience: Immediate and durable hemostasis with >96% freedom from major access site-related complications at 30 days 1,Δ. Enhanced patient comfort and satisfaction 1,13. Rapid ambulation and same-day discharge 1.The transseptal puncture (TP) technique was introduced into clinical practice during the late 1950s by Ross et al as a diagnostic tool to properly select patients for cardiac valve surgery. 1,2 Over the years, its use for diagnostic purposes has declined, but a number of new interventional procedures utilizing TP have been developed. Currently, the most …In patients with cavotricuspid isthmus (CTI)-dependent atrial flutter, ablation along the CTI is often a routine and straightforward procedure. However, certain aspects of the regional anatomy can pose technical challenges such that bidirectional block across the CTI can be difficult to achieve. 1 Using a case example, we review common ...CPT‡ CODE DESCRIPTION WORK RVU NATIONAL MEDICARE RATE FACILITY NON FACILITY CATHETER ABLATION 93650 Intracardiac catheter ablation of …

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CPT Code Short Description Work RVUs Total Facility RVUs Facility Rate 93656 Comprehensive EP evaluation & intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation 17.00 27.69 $922 When medically necessary, report moderate (conscious) sedation provided by the performing physician with 99151-99153. INSIDE THIS GUIDE • Hospital Inpatient Codes and 2024 Payments • Outpatient Codes and 2024 Payments (Hospital, OBL, ASC) • Physician 2024 Payment and RVUsCatheter ablation is a therapeutic technique using a cryoballoon to eliminate conduction defects. Maze or Modified Maze Procedures, also known as (a.k.a.) surgical ablation, are performed on a non-beating heart during the cardiopulmonary bypass to destroy the arrhythmic area of the heart. Hybrid catheter and surgical ablation (HyCASA) is a ...In their analysis of 900 patients presenting with AF or atrial flutter for ablation who did not undergo any pre-procedural or intraprocedural imaging for the purpose of ruling out LAA thrombus and were taking uninterrupted DOACs for > 3 weeks, they found that only 4 (0.3%) patients developed thromboembolic complications with 2 ischemic …

CPT codes 93653, 93654, and 93656 are assigned to APC 5213, as these CPT codes include both a diagnostic study and ablation in a single code. These also have a status …Right heart catheterization. 93451. Left heart catheterization, inc. left ventriculography. 93452. Combined left and right heart catheterization, inc. left ventriculography. 93453. Coronary angiography. 93454. Coronary angiography w/o left or right heart cath, with angiography of bypass graft(s)Cardiac catheterization is required for many procedures such as angiography, angioplasty, valve replacement, valvuloplasty, ablation, or congenital heart repair. This process is required to assess …De Ponti R. Cryothermal energy ablation of cardiac arrhythmias 2005: state of the art. Indian Pacing Electrophysiol J. 2005; 5(1):12-24. Finta B, Haines DE. Catheter ablation therapy for atrial fibrillation. ... Updated Coding section with 01/01/2022 CPT changes to descriptor for code 93656. Revised. 08/12/2021. MPTAC review.Map the heart. Also called cardiac mapping, this is the process of determining the best location to apply cardiac ablation to treat an irregular heartbeat. Do a treatment called cardiac ablation. If a health care provider determines that cardiac ablation is appropriate, the treatment may be done during the EP study. Cardiac … A new ICD-10-PCS code, 02583ZF1, has been created to specify irreversible electroporation (IRE), also known as pulsed field ablation (PFA), in cardiac catheter ablation from other ablation modalities in the inpatient setting. The new ICD-10-PCS code for irreversible electroporation in cardiac ablation is effective for inpatient discharges on or ... Jan 19, 2024 ... ... CPT codes, including codes 99453, 99454, 99457, and 99458. ... CPT code G0511. Download a Remote Patient ... My 2nd Catheter Ablation for Atrial ...Mar 2, 2021 · Insufficient documentation and incorrect coding top errors. You know how important complete supporting medical documentation, [...] CPT®: Arrythmia Type Matters for Most Catheter Ablation Claims Hint: You can report code +93657 in conjunction with code 93656. In some cases, your [...] Quiz: Handy FAQs Test Your Modifier 62 Smarts

Mar 2, 2021 · Code 93656: You should report code 93656 when your cardiologist performs ablation to treat atrial fibrillation with the goal of completing pulmonary vein electrical isolation. Tip 3: Append Add-on Codes With Care. CPT® also offers you the following two add-on codes that you can report along with the appropriate primary ablation code “to ...

Transcatheter ablation is considered medically necessary as a treatment for ANY of the following supraventricular tachycardias in an adult ≥ 18 years of age: symptomatic focal atrial tachycardia (AT) as an alternative to pharmacological therapy. cavotricuspid isthmus (CTI) dependent atrial flutter.Dec 23, 2020 · A Circa catheter was used to monitor esophageal temperature during the ablation procedure. A wide area circumferential ablation was then performed around each vein in which both entrance and exit block was validated. Following isolation we proceeded to perform CAFE (Complex atrial fractionated electrogram) mapping and ablation. Cardiac catheter ablation is considered medically necessary for the treatment of arrhythmias associated with any of the above indications when the source of the arrhythmic substrate is identified and localized by EPS studies and considered amenable to ablation ... Updated Coding section with 01/01/2022 CPT descriptor changes for 93653, …Right heart catheterization. 93451. Left heart catheterization, inc. left ventriculography. 93452. Combined left and right heart catheterization, inc. left ventriculography. 93453. Coronary angiography. 93454. Coronary angiography w/o left or right heart cath, with angiography of bypass graft(s)In the ever-evolving landscape of healthcare, accurate and efficient medical coding is crucial. One important aspect of medical coding is understanding and utilizing Current Proced...2.1. Data sources and search strategies. This meta-analysis was performed referring to established methods ().An electronic databases search was performed on PubMed, EMbase, Cochrane Library and Web of Science (from inception to July 2022) by two independent reviewers (N.P., J.G.), using the following search terms: “atrial flutter,” “cavotricuspid isthmus,” “catheter ablation ...A new ICD-10-PCS code, 02583ZF1, has been created to specify irreversible electroporation (IRE), also known as pulsed field ablation (PFA), in cardiac catheter ablation from other ablation modalities in the inpatient setting. The new ICD-10-PCS code for irreversible electroporation in cardiac ablation is effective for inpatient discharges on …CPT Code 93620, Cardiovascular Procedures, Intracardiac Electrophysiological Procedures/Studies - Codify by AAPC. ... EP coding additional ablation documentation- 93655. Hi, With reference to the 2022 CPT updates below, - 93613 and 93662 are inclusive under 93656. ... I'm getting a denial for cpt code 93613 for "procedure/modifier" from the ...

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recording when necessary with intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation 19.77 32.68 $ 1,176 + 93657 Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation 7.50 12.39 $ 446The ablation procedure is directed at the pathway for electrical impulses rather the muscular wall of the heart itself. The atrium is not being destroyed. This procedure can be reported with the following ICD-10-PCS codes: 02580ZZ, Destruction of conduction mechanism, open approach. 02583ZZ, Destruction of conduction …The Current Procedural Terminology (CPT) code for radiofrequency ablation of a peripheral nerve varies depending on the specific nerve being targeted and the method used to perform the procedure. The most commonly used CPT code for radiofrequency ablation of a peripheral nerve is 64640.In the second study, RF catheter ablation of AP was compared with no treatment in 165 asymptomatic high-risk children 5 to 12 years of age. 14 To collect these data, we estimate that ≈150 000 ECGs had to be obtained. One of 20 children (5%) in the ablation group and 12 of 27 (44%) in the control group had arrhythmic events. ...Dec 16, 2021 · The comprehensive electrophysiologic evaluation with ablation codes 93653-93657 are revised for 2022. Codes 93653 and 93656 underwent significant bundling of related services. A new table in the CPT book clarifies what is included in the revised codes and the new parentheticals are under these codes: 93653, 93654 and 93656. CPT codes 93653, 93654, and 93656 are assigned to APC 5213, as these CPT codes include both a diagnostic study and ablation in a single code. These also have a status …CPT® Code CPT® Description RVUs Facility Non Facility 50593 Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy 8.88 $446 $3,675 76940 Ultrasound monitoring parenchymal tissue ablation 0.00 $99 $99 77013 CT monitoring parenchymal tissue ablation 0.00 $179 $179 77022 MR monitoring parenchymal tissue ablation 0.00 $195 …• Hospital Inpatient Codes and 2024 Payments • Outpatient Codes and 2024 Payments (Hospital, OBL, ASC) • Physician 2024 Payment and RVUs Cardiovascular 2024 Procedural Payment Guide For more procedure payment guides, click here ….

catheter ablation of atrial fibrillation by pulmonary vein isolation 32.62 19.77 $1,177.24 +93657 Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation 12.38 7.50 $446.79In patients with cavotricuspid isthmus (CTI)-dependent atrial flutter, ablation along the CTI is often a routine and straightforward procedure. However, certain aspects of the regional anatomy can pose technical challenges such that bidirectional block across the CTI can be difficult to achieve. 1 Using a case example, we review common ...used in conjunction with cardiac ablation surgery, catheter ablation or LAAM are included below. CPT** Description CY 2023 Physician Work Relative Value Units (RVUs)*** CY 2023 Physician Total RVU CY 2023 National Payment Rates Cardiac Surgical AblationFor AFib, the recommended code is I48.0 for paroxysmal AFib and I48.1 for persistent AFib. For SVT, the recommended code is I47.1, and for VT, the recommended code is I47.2. Accurate medical coding and billing are essential for ensuring the proper reimbursement and coverage for cardiac ablation procedures.Medically Necessary: Alcohol septal ablation is considered medically necessary as a treatment of hypertrophic cardiomyopathy (HCM) in individuals age 21 and older when all of the following criteria are met:. Severe heart failure symptoms (New York Heart Association [NYHA] class III or IV) or other exertional symptoms (such as syncope … Find reimbursement resources relevant for the TactiCath™ Contact Force Ablation Catheter, Sensor Enabled™ and related components. The following resources provide information about coverage, coding and payment, denied claims and supporting documentation for our comprehensive range of electrophysiology products. View Resources. frequently reported in combination with the aforementioned ablation codes. Supraventricular tachycardia (SVT) ablation (CPT‡ code 93653) will include 3D mapping (93613) and left atrial pacing and recording (93621) 93653: Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode …Apr 9, 2024 · AV node ablation is a treatment for an irregular and often very rapid heartbeat called atrial fibrillation (AFib). The treatment uses heat energy, called radiofrequency energy, to destroy a small amount of tissue between the upper and lower chambers of the heart. This area is called the atrioventricular node, also called the AV node. CPT Code Short Description Work RVUs Total Facility RVUs Facility Rate 93656 Comprehensive EP evaluation & intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation 17.00 27.69 $922 When medically necessary, report moderate (conscious) sedation provided by the performing physician with 99151-99153. Cpt code for cardiac ablation, Coding. Pulmonary vein isolation (PVI) atrial fibrillation (AF) ablations are classified by CPT® code 936561 for outpatient hospital and physician coding. Currently, all cardiac catheter ablations in the inpatient setting are reported with ICD-10-PCS code 02583ZZ.2. A new ICD-10-PCS code, 02583ZF3, has been created to specify irreversible ... , Coding System (HCPCS) codes include level I codes (CPT‡ Code, described above) and level II codes (other products, supplies, and services not included ... CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC/ABLATION, OTHER THAN 3-D OR VECTOR MAPPING, COOL TIP CONT'D C2630 FlexAbility Sensor Enabled™ Bi-Directional …, Cardiac ablation usually takes 3 to 6 hours to complete. The time depends on the type of irregular heartbeat being treated. After the procedure, you rest in a recovery area for a few hours where a care team closely checks on you. Depending on your condition, you may go home the same day or spend the night in the hospital., The cardiac ablation codes were finalized as proposed. The final rule puts forward a CY 2022 MPFS Conversion Factor (CF) of $33.5983. ... As expected, CMS addressed the work values for revised CPT codes 93653 (SVT ablation) and 93656 (AF ablation). CPT codes 93653 and 93656, typically furnished in conjunction with add-on …, This article provides a comprehensive overview of the CPT code for radiofrequency ablation of the lumbar spine, explaining what it is, how it is performed, and the associated billing and coding considerations. ... Exploring Cardiac Ablation at Mount Sinai: An Effective Treatment for Heart Rhythm Disorders. Jul 15, 2023; Prevention is …, Nov 18, 2021 · A. A. As part of the 2022 Medicare Physician Fee Schedule final rule, the Centers for Medicare and Medicaid Services (CMS) implemented reductions to work relative value units (RVUs) for electrophysiology (EP) ablation services without any modifications. These reductions essentially eliminate separate payment for 3D mapping, left-atrial pacing ... , Jan 16, 2024 ... Mayo Clinic cardiac electrophysiologist Christopher V. DeSimone, M.D., Ph.D. reviews cardiac ablation treatment for heart rhythm disorders., CPT™ CODE2 DESCRIPTION WORK RVU NATIONAL MEDICARE RATE FACILITY NON FACILITY CATHETER ABLATION 93650 Intracardiac ablation of AV node, with or without temporary pacemaker placement 10.24 $619 NA 93653 Comprehensive electrophysiologic evaluation and ablation, SVT 14.75 $876 NA, Jul 15, 2023 · The CPT code for cardiac radiofrequency ablation in the atria is 93653, while the code for ventricular radiofrequency ablation is 93656. These codes denote the specific location of the procedure and are used for billing and reimbursement purposes. , CPT code 97110 provides information about medical procedures and services to payers and indicate that the procedure involves therapeutic exercises that develop endurance, range of ..., US Reimbursement Resources. We understand the importance of tools and education in helping you navigate through the complex EP reimbursement environment. The resources below contain valuable information on EP coding, reimbursement and procedure documentation. Phone. E-mail., Here are some of the most commonly used CPT codes for vein related treatments. 36475 – radiofrequency ablation first vein treated. 36476 – radiofrequency ablation subsequent veins treated. 36478 – endovenous laser ablation first vein treated. 36479 – endovenous laser ablation subsequent veins treated. 36482 – Venaseal vein …, For heart arrhythmias, the CPT code for radiofrequency ablation varies depending on the specific procedure and location. For example, the code 93656 is used when RFA is performed to treat atrial fibrillation, a common type of heart rhythm disorder., Cardiac catheter ablation is considered medically necessary for the treatment of arrhythmias associated with any of the above indications when the source of the arrhythmic substrate is identified and localized by EPS studies and considered amenable to ablation ... Updated Coding section with 01/01/2022 CPT descriptor changes for 93653, …, Initial ablation was compromised because of catheter movement. Therefore, the 8-French sheath was exchanged to an SRO long sheath, which provided stability of the catheter. Further ablation was performed, which was able to eliminate the PVC. After about 10 lesions, we started the patient on Isuprel and titrated it up to 6 mcg., Cardiac catheterization is required for many procedures such as angiography, angioplasty, valve replacement, valvuloplasty, ablation, or congenital heart repair. This process is required to assess …, Coding for EP procedures Procedure CPT‡ Add-on Code Can be reported in conjunction with CPT‡ codes: 2022 Work RVUs Ablations +93662 93653 93620 Comprehensive EP study with induction or attempted induction of arrhythmia 11.32 EP and Catheter ablation, SVT 14.75 93654 EP and Catheter ablation, VT 19.75 Coding for Structural Heart …, HRS Nominates Ablation Add-On Codes as Potentially Misvalued. February 10, 2023. In continuation of the Society’s advocacy efforts, ablation add-on CPT codes 93655 and 93657 were submitted for review under the Centers for Medicare & Medicaid Services (CMS) Potentially Misvalued Codes Initiative., CPT Code 93620, Cardiovascular Procedures, Intracardiac Electrophysiological Procedures/Studies - Codify by AAPC. ... EP coding additional ablation documentation- 93655. Hi, With reference to the 2022 CPT updates below, - 93613 and 93662 are inclusive under 93656. ... I'm getting a denial for cpt code 93613 for "procedure/modifier" from the ..., CPT codes 93653, 93654, and 93656 are assigned to APC 5213, as these CPT codes include both a diagnostic study and ablation in a single code. These also have a status …, Coding for EP procedures Procedure CPT‡ Add-on Code Can be reported in conjunction with CPT‡ codes: 2022 Work RVUs Ablations +93662 93653 93620 Comprehensive EP study with induction or attempted induction of arrhythmia 11.32 EP and Catheter ablation, SVT 14.75 93654 EP and Catheter ablation, VT 19.75 Coding for Structural Heart …, The CPT code for CT cardiac vein ablation is 93652. This code is used to bill for the physician's services during the procedure. It covers the placement of the catheter and electrode, as well as the delivery of energy and any necessary imaging during the procedure. The code also includes any necessary post-procedure care and follow-up visits., If you're donating toys to charity, Uncle Sam may have a present for you when it's time to do your taxes, in the form of a tax deduction. However, you typically must be ablate repo..., Reimbursement guides, coding, C-code finder, and other resources. We are committed to providing valuable resources to our customers. To that end, we have developed comprehensive online reimbursement resources to help you sort through the complexities of reimbursement for certain cardiac rhythm management and cardiac ablation procedures., Medical Policy 141 effective 11/1/2009. This treatment was previously addressed on medical policy #123, Catheter Ablation of Other Arrhythmogenic Foci. 11/1/2009. Updated to add coverage of radiofrequency ablation of the pulmonary vein for treatment of atrial fibrillation for commercial products, Medicare HMO Blue, and Medicare PPO Blue ..., May 2023 pages 18-21 Reporting Cardiac Ablation Radiation Therapy The Current Procedural Terminology (CPT®) code set is continuously updated to reflect changes in medical practice. Three new Category III codes (0745T-0747T) representing emerging technology were added to the CPT 2023 code set to report cardiac focal ablation for arrhythmia ..., • Hospital Inpatient Codes and 2024 Payments • Outpatient Codes and 2024 Payments (Hospital, OBL, ASC) • Physician 2024 Payment and RVUs Cardiovascular 2024 Procedural Payment Guide For more procedure payment guides, click here, Cost-effectiveness or value of cardiovascular therapies may be undermined by unwarranted cost variation, particularly for heterogeneous procedures such as catheter ablation for atrial fibrillation (AF). ... (ICD-9 code 37.34 or Current Procedural Terminology, 4 th Edition [CPT-4] code 93651). Ablation facility was coded using an encrypted 5 ..., Subcutaneous cardiac rhythm monitor 33285 93618* Implant subcutaneous cardiac rhythm monitor 33286 Remove subcutaneous cardiac rhythm monitor 93624* 92960 Catheter ablations (Review your CPT codebook for the applicable Add-on codes) +93462 Left heart catheterization by transseptal puncture 93650 Catheter ablation AV node with or w/o temporary ... , CPT codes 93653, 93654, and 93656 are assigned to APC 5213, as these CPT codes include both a diagnostic study and ablation in a single code. These also have a status …, The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Cardiac Resynchronization Therapy (CRT) L39080. Services performed for any given diagnosis must meet all of the indications and limitations stated in the LCD, the general requirements for medical …, The physician delivers an electrical charge into the heart muscles to stimulate the heartbeat to a different rhythm. ... You may report intracardiac ablation (93650-93657, 93662) separately if used with CPT 92960 or 92961. ... CPT Code 92520 CPT 92520 describes laryngeal function studies, including aerodynamic testing and acoustic testing. ..., US Reimbursement Resources. We understand the importance of tools and education in helping you navigate through the complex EP reimbursement environment. The resources below contain valuable information on EP coding, reimbursement and procedure documentation. Phone. E-mail.