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Cpt Code 92960 Descriptive Essay

Clinical Labor - Direct Expense

StaffStaff RatePre TimeIntra TimePost TimeTotal Time*
RN/LPN/MTA$0.37  / min## min## min## min## min

* Total Time may be greater than the displayed components.     

Equipment - Direct Expense

ItemPurchase PriceExpected LifeTotal Time
table, exam$##.#### years## min
defibrillator$##.#### years## min

Supplies - Direct Expense

ItemUnit PriceQuantityUnitAmount
pack, minimum multi-specialty visit$##.##  ##pack$##.##
pad, cardioversion R2 (2 pack)$##.##  ##item$##.##
paper, recording (per sheet)$##.##  ##item$##.##

Indirect Expenses (clerical,overhead, and other) are also included in the practice expense.

PE RVU Components (by modifier)

ModifierNational Unadjusted PE RVUPE GPCIAdjusted PE RVU
(none)##.####.##1

Q/A: Billing code 92960 in the ED

APCs Insider, September 25, 2009

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Q: Is elective cardioversion code 92960 billable in the ED? For example, a patient presents in the ED with heart palpitations and dizziness. The physician, after speaking with the patient, decides to cardiovert the patient to return the heart to a stable rhythm.

 

A: “Elective” is the pivotal word here because the patient presented for an emergent situation which ED clinical staff are treating. 

 

CPT Assistant, November 2000, describes appropriate reporting of an elective cardioversion:

“CPT codes 92960 and 92961 are used to report cardioversion. Code 92960 specifically describes elective (nonemergency) external electrical cardioversion. [emphasis added] Elective cardioversion is most often used to treat atrial fibrillation and atrial flutter if anti-arrhythmic drugs fail to convert the heart back to normal sinus rhythm, or if the patient is hemodynamically unstable. The electric shock given in cardioversion is synchronized (ie, timed to occur during the R wave of the electrocardiogram). The patient will have his/her heart rhythm monitored for several hours after the procedure to ensure the rhythm remains stable.” 

If the ED physician determines that the cardioversion can’t wait until appropriate anti-arrhythmic medications are administered to the patient, then the procedure is not elective.



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