What is DC cardioversion?

What is DC cardioversion?

What is a Direct Current Cardioversion? A direct current cardioversion is a procedure which uses a defibrillator (a medical device) to deliver a controlled electric shock to your heart in order to try and return your heart rhythm (or beat) to normal.

What does CPT code 92960 mean?

elective cardioversion
CPT code 92960 is for elective cardioversion, not defibrillation. There is no separate code for defibrillation. Defibrillation is incorporated into CPR, which has its own CPT code (92950).

How do you Cardiovert atrial flutter?

Cardioversion is a medical procedure that restores a normal heart rhythm in people with certain types of abnormal heartbeats (arrhythmias). Cardioversion is usually done by sending electric shocks to your heart through electrodes placed on your chest. It’s also possible to do cardioversion with medications.

What is the CPT code for a cardioversion?

92960
Codes for electrical cardioversion were CPT code 92960 (elective external cardioversion) and ICD‐9 codes 99.61 (atrial cardioversion) and 99.62 (other electric countershock of heart).

How do you do a DC cardioversion?

Procedure for DC cardioversion:

1. Place the defibrillator pads to ensure the current will pass across the heart.
2. Sedation as necessary.
3. Turn on the defibrillator and press ‘Sync’
4. Check your trusts’ policy on level of energy but a rough guide is 100J,150J, 200J.

Is DC cardioversion the same as defibrillation?

Description. Defibrillation – is the treatment for immediately life-threatening arrhythmias with which the patient does not have a pulse, ie ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT). Cardioversion – is any process that aims to convert an arrhythmia back to sinus rhythm.

How do you bill a cardioversion?

CPT code 92960 and 92961 are used to report cardioversion . Elective or external 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.

What is procedure code 99152?

Billing for moderate sedation services, CPT codes 99151 or 99152, represents the first 15 minutes of service. All physician work occurs during that first 15 minutes. Usually thereafter, the physician is engaged in performing the procedure, and a nurse will monitor the patient.

How many joules are used for cardioversion?

External cardioversion is performed by delivering high-energy shocks of 50 to 300 joules through two defibrillator pads attached to the chest, to convert an abnormal heart rhythm back to normal.

How do you do DC cardioversion?

Can you bill a cardioversion with a heart cath?

All these services are components of a cardiac catheterization, percutaneous coronary artery interventional procedure, or internal cardioversion and are not separately reportable.

What is the main difference between cardioversion and defibrillation?

There is an important distinction between defibrillation and cardioversion: Defibrillation — Defibrillation is the asynchronous delivery of energy, such as the shock is delivered randomly during the cardiac cycle. Cardioversion — Cardioversion is the delivery of energy that is synchronized to the QRS complex.

How is DC cardioversion used to treat atrial flutter?

Abstract. Background Direct current cardioversion (DCCV) is a safe and effective treatment for recent-onset atrial fibrillation (AF) or flutter and when performed in the emergency department (ED), it can provide an excellent treatment option for patients as well as reducing unnecessary hospital admissions and healthcare costs.

When to use cardioversion for atrial fibrillation?

Cardioversion is widely used in patients with atrial fibrillation (AF) and atrial flutter when a rhythm control strategy is pursued.

Can a catheter ablation help with rapid atrial flutter?

On the other hand, catheter ablation is highly successful in eliminating typical aflutter. Those patients who are waiting for ablation may undergo electrical cardioversion. In AF, the rapid atrial rate is initiated by a single focus of abnormal activity, most commonly near one of the pulmonary vein ostia in the LA.

When to have an elective cardioversion for AF?

Ventricular response varies. Besides emergency cardioversion in hemodynamically unstable patients, elective cardioversion is usually performed in patients with new onset AF, persistent AF who is symptomatic, or those initiating long term anti-arrhythmic agents such as sotolol or dofetilide.