How To Use CPT Code 93279

CPT 93279 describes the programming device evaluation for single lead or leadless pacemaker systems in one cardiac chamber. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 93279?

CPT 93279 can be used to describe the evaluation and adjustment of an already implanted single lead or leadless pacemaker system in one cardiac chamber. This code represents both the technical and professional components of the service, which includes testing the function of the device and selecting optimal permanent programmed values with analysis, review, and report by a physician or other qualified healthcare professional.

2. Official Description

The official description of CPT code 93279 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 healthcare professional; single lead pacemaker system or leadless pacemaker system in one cardiac chamber.’

3. Procedure

  1. The provider performs a face-to-face evaluation of the patient and establishes a communication link between the single lead or leadless pacemaker system and the programmer.
  2. The provider analyzes and reviews several parameters of the stored pacemaker data, comparing it to current readings.
  3. Based on the analysis, the provider may make repeated adjustments to the settings of the pacemaker system.
  4. The provider tests the function of the device to determine whether any further programming changes are necessary to optimize its performance.
  5. After completing the evaluation and adjustment process, the provider prepares a report summarizing the findings and recommendations.

4. Qualifying circumstances

CPT 93279 is applicable to patients who have an already implanted single lead or leadless pacemaker system in one cardiac chamber. The evaluation and adjustment of the device must be performed by a physician or other qualified healthcare professional. It is important to note that CPT 93279 should not be reported in conjunction with CPT codes 93286 and 93288.

5. When to use CPT code 93279

CPT code 93279 should be used when a provider or qualified healthcare professional performs an in-person programming device evaluation for a single lead or leadless pacemaker system in one cardiac chamber. This code represents both the technical and professional components of the service. It is important to follow the guidelines and not report CPT 93279 with other specific codes.

6. Documentation requirements

To support a claim for CPT 93279, the provider must document the following information:

  • Patient’s medical history and indication for the programming device evaluation
  • Specific parameters analyzed and adjusted during the evaluation
  • Date and duration of the evaluation
  • Results of the evaluation and any changes made to the programming of the device
  • Summary of the findings and recommendations in the report

7. Billing guidelines

When billing for CPT 93279, ensure that the evaluation and adjustment of the pacemaker system are performed by a physician or other qualified healthcare professional. It is important to follow the proper identification and reporting of the type of device being evaluated. CPT 93279 should not be reported in conjunction with CPT codes 93286 and 93288.

8. Historical information

CPT 93279 was added to the Current Procedural Terminology system on January 1, 2009. There have been several historical changes to the code, with the most recent update occurring on January 1, 2019.

9. Examples

  1. A physician performing an in-person programming device evaluation for a single lead pacemaker system in one cardiac chamber.
  2. A qualified healthcare professional analyzing and adjusting the parameters of a leadless pacemaker system during an in-person evaluation.
  3. A provider reviewing the stored pacemaker data and making programming changes for a patient with a single lead pacemaker system in one cardiac chamber.
  4. A physician testing the function of a leadless pacemaker system and selecting optimal programmed values during an in-person evaluation.
  5. A qualified healthcare professional preparing a report summarizing the findings and recommendations after analyzing and adjusting the parameters of a single lead pacemaker system in one cardiac chamber.
  6. A provider performing an in-person programming device evaluation for a leadless pacemaker system in one cardiac chamber and documenting the results.
  7. A physician analyzing the stored pacemaker data and making adjustments to the programming of a single lead pacemaker system in one cardiac chamber during an in-person evaluation.
  8. A qualified healthcare professional testing the function of a leadless pacemaker system and selecting optimal programmed values during an in-person evaluation.
  9. A provider preparing a report summarizing the findings and recommendations after analyzing and adjusting the parameters of a single lead pacemaker system in one cardiac chamber.
  10. A physician performing an in-person programming device evaluation for a leadless pacemaker system in one cardiac chamber and documenting the results.

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