CPT 0613T: Transcatheter Interatrial Septal Shunt Insertion
CPT code 0613T represents the percutaneous transcatheter insertion of an interatrial septal shunt device between the left and right atria. The device is introduced via a femoral venous puncture and positioned under imaging guidance; procedures may include left and right heart catheterization and intracardiac echocardiography. This procedure is clinically significant as a minimally invasive option for creating a controlled interatrial communication in select patients, with implications for heart failure management and investigational therapies.
Key payers in the national analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of how the service is defined clinically, the typical sites of care, common procedural components, and the payer landscape relevant to coverage discussions. The publication outlines benchmarks and payment considerations, summarizes recent policy and coding updates affecting transcatheter structural heart interventions, and provides clinical context to help billing, coding, and policy teams align documentation and claims submission with payer expectations.
Data not available in the input: associated taxonomies, ICD-10 diagnoses, related codes, and detailed service line coding.
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Billing Code Overview
CPT code 0613T describes a percutaneous transcatheter procedure in which a provider inserts an interatrial septal shunt device between the left and right atria. The device is delivered via a femoral venous puncture and advanced through a catheter into the upper chambers of the heart under imaging guidance. The procedure may include left and right heart catheterization and intracardiac echocardiography as part of device placement and confirmation.
Service type: Transcatheter interatrial septal shunt insertion
Typical site of service: Cardiac catheterization laboratory or catheterization suite (inpatient or outpatient hospital setting) or specialized cardiac procedural unit.