Cardiac Electrophysiology & Ablation Scrubber
Catheter ablation billing is prone to severe NCCI unbundling denials (CARC CO-97) when baseline diagnostic studies (93619/93620) or atrial recordings are billed alongside comprehensive PVI (CPT 93656). Concurrently, EP labs miss legitimate revenue on 3D mapping (93613) and intracardiac ultrasound (93662). Scrub your electrophysiology claim lines and audit remote cardiac device telemetry intervals before submission.
Cardiac Electrophysiology & Catheter Ablation Scrubber
Verify pulmonary vein isolation (CPT 93656) bundling edits against diagnostic EP studies (93619/93620), capture 3D mapping (93613) and ICE (93662) add-ons, and audit remote cardiac device telemetry 90-day intervals.
Primary Catheter Ablation Procedure
Comprehensive base operative code under CPT coding guidelines
Documented Billable Add-on Procedures
Separately payable with documented mapping and ultrasound guidance
Diagnostic EP Study Unbundling Auditor
Identify NCCI edit collisions before claim transmission
Remote Cardiac Device Telemetry Cadence
Audit statutory 90-day interrogation intervals (CPT 93294/93295)
EP Scrubber Compliance Report
The following codes cannot be billed on separate claim lines with CPT 93656:
- CPT 93620 - Comprehensive Diagnostic EP Study
ISA*00* *00* *ZZ*SUBMITTERID *ZZ*RECEIVERID *260908*1200*^*00501*000000001*0*P*:~ GS*HC*SENDER*RECEIVER*20260908*1200*1*X*005010X222A1~ ST*837*0001*005010X222A1~ BHT*0019*00*REF20260908*20260908*1200*CH~ NM1*85*2*CARDIAC ARRHYTHMIA SPECIALISTS*****XX*1748392019~ NM1*IL*1*SMITH*JOHN****MI*MED776655443~ CLM*EP-20260908-001*4183.20***11:B:1*Y*A*Y*Y~ DTP*435*D8*20260908~ HI*ABK:I48.0~ LX*1~ SV1*HC:93656*2699.55*UN*1***1~ DTP*472*D8*20260908~ LX*2~ SV1*HC:93613*932.80*UN*1***1~ DTP*472*D8*20260908~ LX*3~ SV1*HC:93662*621.50*UN*1***1~ DTP*472*D8*20260908~ SE*16*0001~ GE*1*1~ IEA*1*000000001~
Electronic claim segments formatted for primary PVI and secondary 3D mapping / ICE ultrasound guidance.
Audit 50 Electrophysiology Claims Free
Our certified cardiology RCM specialists will audit 50 recent catheter ablation or device telemetry claims for unbundling rejections and missed mapping add-ons.
Turn these Cardiac Electrophysiology Scrubber insights into recovered cash
Struggling with catheter ablation denials, missed 3D electroanatomical mapping add-ons, or telemetry clawbacks? Aethera provides certified cardiac EP coding specialists who protect revenue across EP labs, device clinics, and arrhythmia centers. Let our senior AAPC-certified billing team audit 50 of your active claims or past denials — completely free, with guaranteed under-48-hour findings.
Test our scrub rules and appeal workflow on 50 real claims. Zero commitment, no credit card required.
Upload your aging report for instant benchmark comparisons against MGMA standards and recoverable cash projections.