CPT® Code 93651

Deleted

Intracardiac catheter ablation of arrhythmogenic focus; for treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathways, accessory atrioventricular connections or other atrial foci, singly or in combination

Intracardiac catheter ablation of an arrhythmogenic focus is a specialized medical procedure aimed at treating supraventricular tachycardia, a condition characterized by an abnormally fast heart rate originating above the ventricles. This procedure involves the targeted destruction of specific electrical pathways within the heart that contribute to the arrhythmia. The ablation process can address both fast and slow atrioventricular pathways, as well as accessory atrioventricular connections and other atrial foci, either individually or in combination. The procedure typically begins with the identification and mapping of the anomalous or accessory pathways, which is crucial for understanding the arrhythmia cycle. Following this mapping, ablation catheters are carefully inserted and positioned along the identified pathways using either a transaortic or transseptal approach. The application of radiofrequency or cryoablation energy is then utilized to disrupt the electrical conduction through these pathways, effectively aiming to eliminate the source of the arrhythmia. Throughout the procedure, attempts are made to induce the arrhythmia to confirm the effectiveness of the ablation, and if arrhythmia is induced, the catheter may be repositioned for further ablation. This process continues until the anomalous pathway is completely obliterated, as evidenced by the inability to induce the arrhythmia. It is important to note that a different code, 93652, should be used when the procedure is performed to treat life-threatening ventricular tachycardia.