How To Use CPT Code 0683T

CPT 0683T describes the programming device evaluation and adjustment of a permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0683T?

CPT 0683T can be used to describe the in-person programming device evaluation and adjustment of a permanent implantable synchronized diaphragmatic stimulation system. This code is used when a physician or other qualified healthcare professional performs iterative adjustments to test the function of the device and select optimal permanent programmed values. The service includes analysis, review, and a report by the healthcare professional.

2. Official Description

The official description of CPT code 0683T is: ‘Programming device evaluation (in-person) 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 health care professional, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function.’

3. Procedure

1. The healthcare professional prepares the necessary items for in-person programming device evaluation and adjustment of the permanent implantable synchronized diaphragmatic stimulation system.
2. The provider establishes communication between the external programmer and the stimulation system.
3. The healthcare professional analyzes and reviews various parameters, such as pulse amplitude, duration, battery status, lead and electrode selectability, impedances, and R-wave sensitivity.
4. The provider makes iterative adjustments to optimize the programming of the device.
5. A report is created as part of the service.

4. Qualifying circumstances

CPT 0683T is used for patients with heart failure who require the evaluation and adjustment of a permanent implantable synchronized diaphragmatic stimulation system. The service must be performed by a physician or other qualified healthcare professional. It should not be reported in conjunction with other codes for synchronized diaphragmatic stimulation system services performed by the same provider.

5. When to use CPT code 0683T

CPT code 0683T should be used when a physician or other qualified healthcare professional performs in-person programming device evaluation and adjustment of a permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function. It should not be reported with other codes for synchronized diaphragmatic stimulation system services performed by the same provider.

6. Documentation requirements

To support a claim for CPT 0683T, the healthcare professional must document the following information:

• Patient’s diagnosis and the need for programming device evaluation and adjustment
• Specific details of the evaluation and adjustment process
• Date and duration of the in-person session
• Parameters analyzed and reviewed
• Iterative adjustments made to optimize the programming
• Report generated as part of the service

7. Billing guidelines

When billing for CPT 0683T, ensure that the service is performed by a physician or other qualified healthcare professional. It should not be reported in conjunction with other codes for synchronized diaphragmatic stimulation system services performed by the same provider. Additional tips and guidelines for reporting this code can be found in the official coding guidelines.

8. Historical information

CPT 0683T was added to the Current Procedural Terminology system on January 1, 2022. There have been no updates to the code since its addition.

9. Examples

1. A physician performing in-person programming device evaluation and adjustment of a synchronized diaphragmatic stimulation system for a patient with heart failure.
2. A qualified healthcare professional making iterative adjustments to optimize the programming of a permanent implantable synchronized diaphragmatic stimulation system for a patient with cardiac dysfunction.
3. A physician analyzing and reviewing various parameters of a synchronized diaphragmatic stimulation system to select optimal permanent programmed values for a patient with heart failure.
4. A healthcare professional creating a report as part of the programming device evaluation and adjustment service for a patient with a permanent implantable synchronized diaphragmatic stimulation system.
5. A qualified healthcare professional establishing communication between the external programmer and the synchronized diaphragmatic stimulation system for a patient with cardiac dysfunction.
6. A physician performing iterative adjustments to optimize the programming of a permanent implantable synchronized diaphragmatic stimulation system for a patient with heart failure.
7. A healthcare professional analyzing and reviewing the pulse amplitude, duration, and other parameters of a synchronized diaphragmatic stimulation system for a patient with cardiac dysfunction.
8. A qualified healthcare professional making iterative adjustments to optimize the programming of a permanent implantable synchronized diaphragmatic stimulation system for a patient with heart failure.
9. A physician creating a report detailing the analysis, review, and adjustments made during the programming device evaluation of a synchronized diaphragmatic stimulation system for a patient with cardiac dysfunction.
10. A healthcare professional performing in-person programming device evaluation and adjustment of a permanent implantable synchronized diaphragmatic stimulation system for a patient with heart failure.