How To Use CPT Code 93282

CPT 93282 describes the procedure for programming device evaluation with iterative adjustment of an implantable device to test its function and select optimal permanent programmed values. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 93282?

CPT 93282 can be used to describe the evaluation and adjustment of parameters of a previously implanted single lead transvenous implantable defibrillator system. This procedure involves testing the function of the device and selecting optimal permanent programmed values to regulate the heart rhythm in one chamber of the heart. It is performed in a direct encounter with a patient who has an abnormal heartbeat.

2. Official Description

The official description of CPT code 93282 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; single lead transvenous implantable defibrillator system.’

3. Procedure

1. The provider connects the patient to an electrocardiogram (ECG) monitor, establishing a communication link between the single lead transvenous implantable defibrillator system and the programmer.
2. The provider analyzes and reviews the data collected and stored in the device, comparing it to current readings on the ECG.
3. Based on the analysis, the provider makes necessary changes in the device’s settings to achieve optimal performance.
4. The provider may iterate this process, making further adjustments and reevaluating the device’s function until the optimal permanent programmed values are selected.
5. The provider completes an analysis, review, and report of the procedure.

4. Qualifying circumstances

CPT 93282 is performed on patients who have a previously implanted single lead transvenous implantable defibrillator system and require evaluation and adjustment of the device’s parameters. This procedure is necessary to test the function of the device and select optimal permanent programmed values for regulating the heart rhythm in one chamber of the heart. It is typically performed by a physician or other qualified healthcare professional.

5. When to use CPT code 93282

CPT code 93282 should be used when a provider performs programming device evaluation with iterative adjustment of a single lead transvenous implantable defibrillator system in person. This code is appropriate for evaluating and adjusting the device’s parameters to test its function and select optimal permanent programmed values. It should not be reported in conjunction with codes 93260, 93287, 93289, or 93745.

6. Documentation requirements

To support a claim for CPT 93282, the provider must document the following information:

• Patient’s medical history and indication for the evaluation and adjustment of the implantable device
• Details of the programming device evaluation, including the start and end time of the procedure
• Analysis and review of the data collected from the device and comparison to current readings on the ECG
• Changes made to the device’s settings and the rationale behind those changes
• Selection of optimal permanent programmed values
• Analysis, review, and report of the procedure by the provider

7. Billing guidelines

When billing for CPT 93282, ensure that the procedure is performed in person and involves the evaluation and adjustment of a single lead transvenous implantable defibrillator system. It should not be reported with codes 93260, 93287, 93289, or 93745. Properly identify and report the type of device being evaluated when billing for remote monitoring and transtelephonic monitoring. This code includes both the professional and technical components of the service.

8. Historical information

CPT 93282 was added to the Current Procedural Terminology system on January 1, 2009. Since its addition, there have been several code changes to refine the description and clarify the specific circumstances in which the code should be used.

9. Examples

1. A physician performing programming device evaluation with iterative adjustment of a single lead transvenous implantable defibrillator system to test its function and select optimal permanent programmed values for a patient with a history of abnormal heart rhythms.
2. A qualified healthcare professional analyzing and reviewing data from a previously implanted single lead transvenous implantable defibrillator system, making necessary adjustments to the device’s settings to optimize its performance for a patient with a single chamber heart rhythm abnormality.
3. A provider iterating the process of evaluating and adjusting a single lead transvenous implantable defibrillator system to achieve optimal permanent programmed values for regulating the heart rhythm in one chamber of the heart for a patient with a specific medical condition.
4. A physician completing an analysis, review, and report of the programming device evaluation with iterative adjustment of a single lead transvenous implantable defibrillator system for a patient with a previously implanted device.