How To Use CPT Code 0685T

CPT 0685T describes the in-person interrogation device evaluation of a synchronized diaphragmatic stimulation system for augmentation of cardiac function. 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 0685T?

CPT 0685T can be used to describe the in-person interrogation device evaluation of a synchronized diaphragmatic stimulation system for augmentation of cardiac function. This code is used when a physician or other qualified healthcare professional performs the evaluation, including the connection, recording, and disconnection of the system, and provides analysis, review, and a report.

2. Official Description

The official description of CPT code 0685T is: ‘Interrogation device evaluation (in-person) with analysis, review and report by a physician or other qualified health care professional, including connection, recording and disconnection per patient encounter, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function.’

3. Procedure

  1. The physician or qualified healthcare professional connects the synchronized diaphragmatic stimulation system to a machine for in-person interrogation device evaluation.
  2. They analyze and review various parameters of data taken from the system, including pulse amplitude, duration, battery status, lead and electrode selectability, impedances, and R-wave sensitivity.
  3. A report is created as part of the service, detailing the findings and recommendations based on the evaluation.

4. Qualifying circumstances

Patients eligible for CPT 0685T are those with heart failure who have a permanent implantable synchronized diaphragmatic stimulation system. This code is used when a physician or other qualified healthcare professional performs the in-person interrogation device evaluation, including the connection, recording, and disconnection of the system. 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 0685T

CPT code 0685T should be used when a physician or other qualified healthcare professional performs an in-person interrogation device evaluation of a 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 0685T, the physician or qualified healthcare professional must document the following information:

  • Patient’s diagnosis and the need for the in-person interrogation device evaluation
  • Specific parameters analyzed and reviewed during the evaluation
  • Date of the evaluation and the duration of the connection, recording, and disconnection
  • Findings and recommendations based on the evaluation
  • Signature of the physician or qualified healthcare professional performing the service

7. Billing guidelines

When billing for CPT 0685T, 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. Check the guidelines before reporting this code to ensure compliance.

8. Historical information

CPT 0685T 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 cardiologist performs an in-person interrogation device evaluation of a synchronized diaphragmatic stimulation system for a patient with heart failure.
  2. An electrophysiologist analyzes and reviews the parameters of a synchronized diaphragmatic stimulation system for a patient with cardiac dysfunction.
  3. A cardiac surgeon provides an in-person interrogation device evaluation of a synchronized diaphragmatic stimulation system for a patient with compromised cardiac function.
  4. A cardiac nurse specialist performs an evaluation of a synchronized diaphragmatic stimulation system for a patient with heart failure, including connection, recording, and disconnection.
  5. A cardiovascular technologist assists a physician in the in-person interrogation device evaluation of a synchronized diaphragmatic stimulation system for a patient with cardiac dysfunction.
  6. A cardiac rehabilitation therapist reviews the data from a synchronized diaphragmatic stimulation system evaluation for a patient undergoing cardiac rehabilitation.
  7. A cardiac nurse practitioner performs an in-person interrogation device evaluation of a synchronized diaphragmatic stimulation system for a patient with heart failure, providing analysis, review, and a report.
  8. An interventional cardiologist evaluates the parameters of a synchronized diaphragmatic stimulation system for a patient with compromised cardiac function.
  9. A cardiac electrophysiologist performs an in-person interrogation device evaluation of a synchronized diaphragmatic stimulation system for a patient with heart failure, including connection, recording, and disconnection.
  10. A cardiovascular surgeon reviews the findings of an in-person interrogation device evaluation of a synchronized diaphragmatic stimulation system for a patient with cardiac dysfunction.

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