Rule 3701-83-19.1 | Cardiac catheterization procedures in an ambulatory surgical facility.
(A) For purposes of rules 3701-83-19.1 to 3701-83-19.5 of the Administrative Code, "cardiac catheterization procedure" means a procedure used to diagnose and treat various cardiac and circulatory diseases that involves inserting a thin, pliable catheter into a major blood vessel and manipulating the tip of the catheter through veins or arteries to the heart.
(B) An ASF may apply for approval to provide cardiac catheterization procedures that are approved for payment by the United States centers for medicare and medicaid services as set forth in the most updated version of the "Ambulatory Surgical Center (ASC) Covered Procedures List."
(1) An ASF will first apply for approval on a form prescribed by the director to provide diagnostic cardiac catheterization procedures;
(2) An ASF that has performed diagnostic cardiac catheterization procedures for ninety days may, on a form prescribed by the director, apply for approval to provide interventional cardiac catheterization procedures.
(C) The following interventional procedures are not allowed to be performed in an ASF:
(1) Transcatheter aortic valve replacement (TAVR);
(2) Revascularization of chronic total occlusion (CTO);
(3) Rotational coronary atherectomy;
(4) Alcohol septal ablation;
(5) Cardiac biopsy;
(6) Mitral valve clip;
(7) Transcatheter mitral valve (TMV) repair or replacement;
(8) Laser lead extraction;
(9) Atrial septal defect (ASD), patent foramen ovale (PFO), and ventricular septal defect (VSD) closure;
(10) Balloon aortic valvuloplasty;
(11) PCI of last remaining coronary artery;
(12) Left atrial appendage closure;
(13) Ventricular tachycardia ablation;
(14) Lead extractions; and
(15) Multivessel PCI in the setting of severe left ventricular dysfunction. "Severe left ventricular dysfunction" is defined as less than or equal to thirty per cent of function set forth in the 2014 expert consensus document, table 6: patient and lesion characteristics.
(D) For rules 3701-83-19.1 to 3701-83-19.5 of the Administrative Code, the following references are available at www.acc.org:
(1) "2012 expert consensus document" means 2012 American college of cardiology foundation/society for cardiovascular angiography and interventions expert consensus document on cardiac catheterization laboratory standards update (June 12, 2012);
(2) "2014 expert consensus document" means the 2014 society for cardiovascular angiography and interventions/American college of cardiology/American heart association expert consensus document update on percutaneous coronary intervention without on-site surgical backup (June 17, 2014);
(3) "2023 expert consensus document" means the 2023 society for cardiovascular angiography and interventions/American college of cardiology expert consensus statement on percutaneous coronary intervention without on-site surgical backup (April 10, 2023);
(4) "Table 2: support services" means 2012 American college of cardiology foundation/society for cardiovascular angiography and interventions expert consensus document on cardiac catheterization laboratory standards update, table 2: optimal (recommended) on-site support services for invasive cardiac procedures (June 12, 2012);
(5) "Table 3: facility requirements" means 2014 society for cardiovascular angiography and interventions/American college of cardiology/American heart association expert consensus document update on percutaneous coronary intervention without on-site surgical backup, table 3: facility requirements for percutaneous coronary intervention programs without on-site surgery (June 17, 2014);
(6) "Table 4: personnel recommendations" means 2014 society for cardiovascular angiography and interventions/American college of cardiology/American heart association expert consensus document update on percutaneous coronary intervention without on-site surgical backup, table 4: personnel recommendations (June 17, 2014);
(7) "Table 5: general exclusion criteria" means the 2012 American college of cardiology foundation/society for cardiovascular angiography and interventions expert consensus document on cardiac catheterization laboratory standards update, table 5: general exclusion criteria for invasive cardiac procedures in a setting without cardiothoracic surgery (June 12, 2012);
(8) "Table 5: recommendations for off-site surgical backup and case selection" means the 2014 society for cardiovascular angiography and interventions/American college of cardiology/American heart association expert consensus document update on percutaneous coronary intervention without on-site surgical backup, table 5: recommendations for off-site surgical backup and case selection (June 17, 2014); and
(9) "Table 6: patient and lesion characteristics" means the 2014 society for cardiovascular angiography and interventions/American college of cardiology/American heart association expert consensus document update on percutaneous coronary intervention without on-site surgical backup, table 6: patient and lesion characteristics that could be unsuitable for nonemergency procedures at facilities without an on-site cardiac surgery (June 17, 2014).
Last updated February 17, 2026 at 7:58 AM
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