How To Use CPT Code 0575T

CPT 0575T describes the programming device evaluation of an implantable cardioverter-defibrillator system with a substernal electrode. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0575T?

CPT 0575T can be used to describe the programming device evaluation of an implantable cardioverter-defibrillator system with a substernal electrode. This code is used when a physician or other qualified healthcare professional performs an in-person evaluation and repeatedly adjusts the programmed settings of the device to test its function and select optimal permanent programmed values. The evaluation includes analysis, review, and a report of the findings and programmed settings.

2. Official Description

The official description of CPT code 0575T is: ‘Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode, with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review, and report by a physician or other qualified healthcare professional.’

3. Procedure

1. The physician or other qualified healthcare professional connects an ECG monitor to the patient and a portable programmer to the pulse generator of the implanted cardioverter-defibrillator (ICD) system to establish a communication link.
2. They repeatedly analyze and review several parameters of the stored data, comparing it to current readings, making adjustments, and retesting.
3. Based on their analysis, they determine whether to change the programming of the device to optimize its performance.
4. Once the testing and adjustments are complete, they prepare a report of the findings and the programmed settings.

4. Qualifying circumstances

CPT 0575T is used for the programming device evaluation of an implantable cardioverter-defibrillator system with a substernal electrode. It should not be reported in conjunction with pulse generator or lead insertion, removal, or repositioning codes. Additionally, it should not be reported in conjunction with codes 93260, 93282, 93287, or 0576T.

5. When to use CPT code 0575T

CPT code 0575T should be used when a physician or other qualified healthcare professional performs an in-person evaluation and iterative adjustment of the programmed settings of an implantable cardioverter-defibrillator system with a substernal electrode. This code is used to test the function of the device and select optimal permanent programmed values. It should not be reported with certain other codes, as mentioned in the qualifying circumstances section.

6. Documentation requirements

To support a claim for CPT 0575T, the physician or other qualified healthcare professional must document the following information:

• Patient’s diagnosis and the need for the programming device evaluation
• Specific parameters analyzed and adjusted during the evaluation
• Date and duration of the evaluation
• Findings and programmed settings
• Signature of the physician or other qualified healthcare professional performing the evaluation

7. Billing guidelines

When billing for CPT 0575T, ensure that the evaluation is performed by a physician or other qualified healthcare professional. It should involve the iterative adjustment of the implantable device and include analysis, review, and a report of the findings and programmed settings. Do not report CPT 0575T in conjunction with certain other codes, as mentioned in the qualifying circumstances section.

8. Historical information

CPT 0575T was added to the Current Procedural Terminology system on January 1, 2020. There have been no updates to the code since its addition.

9. Examples

1. A physician performing an in-person evaluation and iterative adjustment of the programmed settings of an implantable cardioverter-defibrillator system with a substernal electrode to test its function and select optimal permanent programmed values.
2. A qualified healthcare professional analyzing and reviewing the parameters of an implanted cardioverter-defibrillator system with a substernal electrode and making adjustments to optimize its performance.
3. A physician connecting an ECG monitor and a portable programmer to an implantable cardioverter-defibrillator system with a substernal electrode, repeatedly testing and adjusting the programmed settings, and preparing a report of the findings and programmed values.
4. A healthcare professional evaluating the function of an implantable cardioverter-defibrillator system with a substernal electrode and selecting optimal permanent programmed values based on their analysis and review.
5. A physician or other qualified healthcare professional performing an in-person evaluation and iterative adjustment of the programmed settings of an implantable cardioverter-defibrillator system with a substernal electrode, with analysis, review, and a report of the findings and programmed settings.
6. A qualified healthcare professional repeatedly analyzing and reviewing the stored data of an implanted cardioverter-defibrillator system with a substernal electrode, making adjustments to optimize its performance, and documenting the findings and programmed settings.
7. A physician connecting an ECG monitor and a portable programmer to an implantable cardioverter-defibrillator system with a substernal electrode, analyzing and reviewing the parameters, adjusting the programmed settings, and preparing a report of the findings and programmed values.
8. A healthcare professional evaluating the function of an implantable cardioverter-defibrillator system with a substernal electrode, making iterative adjustments to the programmed settings, and selecting optimal permanent programmed values based on their analysis and review.
9. A physician or other qualified healthcare professional performing an in-person evaluation and iterative adjustment of the programmed settings of an implantable cardioverter-defibrillator system with a substernal electrode, with analysis, review, and a report of the findings and programmed settings.
10. A qualified healthcare professional repeatedly analyzing and reviewing the stored data of an implanted cardioverter-defibrillator system with a substernal electrode, making adjustments to optimize its performance, and documenting the findings and programmed settings.