CPT Knowledgebase - Dec 1, 2023

The CPT 2022 guidelines for shunting procedures state that "[f]or same-session diagnostic cardiac angiography for an evaluation separate and distinct from the shunt creation, the appropriate contrast injection(s) performed (93563, 93565, 93566, 93567, 93568) may be reported by appending modifier 59, indicating separate and distinct procedural service(s) from 33741, 33745." However, the CPT 2023 guidelines state that "[f]or same-session diagnostic cardiac angiography for an evaluation separate and distinct from 33741 or 33745, the appropriate contrast injection(s) performed (93563, 93565, 93566, 93567, 93568, 93569, 93573, 93574, 93575) may be reported." In the CPT 2023 code set, the use of modifier 59 to indicate that "separate and distinct procedural service(s) from 33741, 33745" was removed. Does modifier 59 need to be appended to codes 93563, 93565-93569, and 93573-93575 when reported with codes 33741 and 33745? Or may these codes be reported without appending modifier 59?

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