icd 10 code for tilt table test

What is the CPT code for a tilt table test?

Answer: When your cardiologist performs a tilt table test, you should report code 93660 (Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention). The diagnosis code for this scenario would be R55 (Syncope and collapse).

What is the ICD 10 code for tilt table syncope?

ICD-10-CM: The diagnosis code for this scenario would be R55 (Syncope and collapse) for the syncope. Code 93660 is split into professional and technical components. You must check the medical documentation to see if your cardiologist owns the tilt table equipment or not.

What is a tilt-table test?

The tilt-table test is used to diagnose neurocardiogenic syncope. The device required for a tilt-table test is a motorized table designed specifically for use in a cardiac catheterization or electrophysiology laboratory. This table differs from tilt-tables used in radiology and physical therapy departments.

What happens during a tilt table test?

During the tilt table test, my cardiologist monitored the patient’s electrocardiogram (EKG) for any changes in heart rate, and they also monitored the patient’s blood pressure. The patient let my cardiologist know when they experienced any light-headedness or faintness during the test.

What is a tilt table test in cardiology?

A tilt table test attempts to determine the cause syncope by creating changes in posture from lying to standing. You will lie flat on a special bed or table with special safety belts and a footrest while connected to electrocardiogram (ECG) and blood pressure monitors.

What is procedure code 93660?

CPT® Code 93660 - Intracardiac Electrophysiological Procedures/Studies - Codify by AAPC.

What conditions can a tilt table test diagnose?

A tilt table test is used to evaluate the cause of unexplained fainting. A health care provider might recommend a tilt table test to evaluate repeated, unexplained episodes of lightheadedness, dizziness or fainting. The test can help determine if the cause is related to heart rate or blood pressure.

What does a positive tilt table test mean?

A positive tilt table test means you may have a condition that causes an abnormal change in blood pressure, heart rate or heart rhythm. A negative tilt table test means that there were no signs of a condition that causes an abnormal change in your blood pressure, heart rate or heart rhythm.

What is the CPT code for a tilt table test?

93660Evaluation of cardiovascular function with tilt table testing (CPT code 93660) should only be performed for suspected neurocardiogenic syncope. Therefore, tilt table testing will be denied when billed without a diagnosis of syncope and collapse (ICD-10 code R55).

What is CPT code R55?

ICD-10 code R55 for Syncope and collapse is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What are the 4 classifications of syncope?

OverviewAutonomic Nervous System (ANS)The ANS automatically controls many functions of the body, such as breathing, blood pressure, heart rate and bladder control. ... Vasovagal syncope (also called cardio-neurogenic syncope)Situational syncope.Postural syncope (also called postural hypotension)Neurologic syncope.More items...•

Does a tilt table test diagnose orthostatic hypotension?

Head-up tilt-table testing can aid in confirming a diagnosis of suspected orthostatic hypotension when standard orthostatic vital signs are nondiagnostic; it also can aid in assessing treatment response in patients with an autonomic disorder.

What is the number one cause of syncopal episodes?

Syncope is a temporary loss of consciousness usually related to insufficient blood flow to the brain. It's also called fainting or "passing out." It most often occurs when blood pressure is too low (hypotension) and the heart doesn't pump enough oxygen to the brain.

Why do they give Nitro during a tilt table test?

Nitroglycerin is used in tilt testing to elicit a vasovagal response. It is known to induce venous dilation and enhance pooling.

What is vasovagal fainting?

Vasovagal syncope (vay-zoh-VAY-gul SING-kuh-pee) occurs when you faint because your body overreacts to certain triggers, such as the sight of blood or extreme emotional distress. It may also be called neurocardiogenic syncope. The vasovagal syncope trigger causes your heart rate and blood pressure to drop suddenly.

What causes PoTS syndrome?

Patients may develop POTS after a viral illness, serious infections, medical illness, pregnancy and trauma such as head injury. The condition may develop as aftermath of a significant illness (especially associated with hospitalization and prolonged immobilization).

What is a tilt table?

The device required for a tilt-table test is a motorized table designed specifically for use in a cardiac catheterization or electrophysiology laboratory. This table differs from tilt-tables used in radiology and physical therapy departments. The tilt-table for syncope testing must change the patient’s position from 0–60º in less than ten seconds, must be able to restore the patient equally quickly to a supine position, and must have proper restraints. The patient is held at a 60° angle for an extended period of time, during which heart rate and blood pressure are monitored and syncope observed should it occur. Syncope is defined as a sudden, transient loss of consciousness, accompanied by loss of postural tone.

Is the absence of a procedure, service, supply, device or diagnosis code relevant?

The presence or absence of procedure, service, supply, device or diagnosis codes in a Medical Policy document has no relevance for determination of benefit coverage for members or reimbursement for providers. Only the written coverage position in a medical policy should be used for such determinations.

Is tilt table testing effective?

There is inadequate evidence of the effectiveness of tilt-table testing for identifying chronic fatigue syndrome (CFS) patients who would respond to medications to increase their blood pressure.

Is tilt table test necessary for a pacemaker?

Thus, it is unknown whether the tilt-table test is a necessary component of the selection criteria for a pacemaker.

Is tilt test needed for syncope?

Tilt testing is usually not needed in patients whose reflex syncope is already diagnosed by clinical history, and in patients with single or rare syncope, unless special circumstances exist (e.g., injury, anxiety, occupational implications).

Document Information

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This LCD supplements but does not replace, modify or supersede existing Medicare applicable National Coverage Determinations (NCDs) or payment policy rules and regulations for autonomic function tests. Federal statute and subsequent Medicare regulations regarding provision and payment for medical services are lengthy.

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Notice: It is not appropriate to bill Medicare for services that are not covered (as described by this entire LCD) as if they are covered.

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CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act, Section 1833 (e). This section states that no payment shall be made to any provider for any claims that lack necessary information to process the claim.

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The billing and coding information in this article is dependent on the coverage indications, limitations and/or medical necessity described in the related LCD.

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