How To Use CPT Code 0650T

CPT 0650T describes the programming device evaluation of a subcutaneous cardiac rhythm monitor system. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0650T?

CPT 0650T can be used to describe the remote evaluation of programmed parameters of an implanted subcutaneous cardiac rhythm monitor system. This code is used when a physician or other qualified healthcare professional analyzes the function of the device and selects optimal permanently programmed values by making iterative adjustments. The provider then reviews the results and prepares a report based on the evaluation.

2. Official Description

The official description of CPT code 0650T is: ‘Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the implantable device to test the function of the device and select optimal permanently programmed values with analysis, review, and report by a physician or other qualified healthcare professional.’

3. Procedure

1. A physician or other qualified healthcare professional remotely evaluates the programmed parameters of a subcutaneous cardiac rhythm monitor system.
2. The provider analyzes the function of the device and makes iterative adjustments to test its performance.
3. During the evaluation, the provider may adjust the detection criteria for tachycardia (fast heart rate) and bradycardia (slow heart rate) based on the patient’s recorded episodes.
4. The provider reviews the results of the evaluation and determines the optimal permanently programmed values for the device.
5. If necessary, the provider may repeat the process of adjusting the settings and retesting the function to further optimize the device’s performance.
6. Finally, the provider prepares a report summarizing the evaluation, adjustments made, and the selected programmed values.

4. Qualifying circumstances

CPT 0650T is used for patients who have an implanted subcutaneous cardiac rhythm monitor system that requires remote evaluation and programming. The procedure is performed by a physician or other qualified healthcare professional who has the expertise to analyze and adjust the device’s parameters. It is important to note that CPT 0650T should not be reported in conjunction with specific other codes, such as 33285, 93260, 93279, 93280, 93281, 93282, 93284, 93285, and 93291.

5. When to use CPT code 0650T

CPT code 0650T should be used when a physician or other qualified healthcare professional performs a remote evaluation of the programmed parameters of a subcutaneous cardiac rhythm monitor system. This code is specific to the evaluation and programming process, including analysis, testing, adjustments, and the preparation of a report. It should not be used for other procedures or services related to cardiac rhythm monitoring.

6. Documentation requirements

To support a claim for CPT 0650T, the healthcare professional must document the following information:

• The patient’s medical history and the need for remote evaluation and programming of the subcutaneous cardiac rhythm monitor system
• The specific adjustments made to the device’s programmed parameters
• The date and time of the remote evaluation
• The results of the evaluation and any changes made to optimize the device’s performance
• A summary report of the evaluation, adjustments, and selected programmed values
• The signature of the physician or qualified healthcare professional performing the evaluation

7. Billing guidelines

When billing for CPT 0650T, ensure that the service is performed by a physician or other qualified healthcare professional who has the expertise to evaluate and program the subcutaneous cardiac rhythm monitor system remotely. It is important to note that CPT 0650T should not be reported in conjunction with specific other codes, as mentioned earlier. Follow the coding guidelines and instructions provided by the payer to ensure accurate and appropriate billing for this service.

8. Historical information

CPT 0650T was added to the Current Procedural Terminology system on July 1, 2021. As of now, there have been no updates or changes to the code since its addition.

9. Examples

1. A physician remotely evaluates the programmed parameters of a subcutaneous cardiac rhythm monitor system for a patient with a history of arrhythmias and adjusts the device’s settings to optimize its performance.
2. A qualified healthcare professional analyzes the function of a subcutaneous cardiac rhythm monitor system for a patient with a suspected heart rhythm disorder and makes iterative adjustments to the device’s programmed values based on recorded episodes.
3. A physician remotely reviews the results of a subcutaneous cardiac rhythm monitor system’s evaluation for a patient with a history of bradycardia and determines the optimal permanently programmed values for the device.
4. A qualified healthcare professional performs a remote evaluation of a subcutaneous cardiac rhythm monitor system for a patient with a previous heart surgery and adjusts the device’s parameters to improve its function.
5. A physician analyzes the function of a subcutaneous cardiac rhythm monitor system for a patient with a history of tachycardia and makes iterative adjustments to optimize the device’s performance.
6. A qualified healthcare professional remotely evaluates the programmed parameters of a subcutaneous cardiac rhythm monitor system for a patient with a recent heart attack and prepares a report summarizing the evaluation and adjustments made.
7. A physician reviews the results of a subcutaneous cardiac rhythm monitor system’s evaluation for a patient with a history of palpitations and determines the optimal permanently programmed values for the device.
8. A qualified healthcare professional performs a remote evaluation of a subcutaneous cardiac rhythm monitor system for a patient with suspected arrhythmias and adjusts the device’s parameters to enhance its performance.
9. A physician remotely analyzes the function of a subcutaneous cardiac rhythm monitor system for a patient with a history of atrial fibrillation and makes iterative adjustments to optimize the device’s programmed values.
10. A qualified healthcare professional reviews the results of a subcutaneous cardiac rhythm monitor system’s evaluation for a patient with a history of syncope and prepares a report summarizing the evaluation, adjustments, and selected programmed values.