How To Use CPT Code 93283

CPT 93283 describes the programming device evaluation for an implantable defibrillator system. 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 93283?

CPT 93283 can be used to describe the programming device evaluation for a dual lead transvenous implantable defibrillator system. This code is used when a physician or other qualified healthcare professional assesses and adjusts the parameters of the device to test its function and select optimal permanent programmed values. The evaluation is done in person with the patient to ensure the device is regulating the heart rhythm efficiently.

2. Official Description

The official description of CPT code 93283 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; dual lead transvenous implantable defibrillator system.’

3. Procedure

1. The healthcare professional connects the patient to an electrocardiogram (ECG) monitor, establishing communication with the dual lead transvenous implantable defibrillator system.
2. Using the programmer, the healthcare professional analyzes and reviews the data collected and stored in the device.
3. Comparing the device data to current ECG readings, the healthcare professional makes necessary adjustments to the device’s settings to optimize its performance.
4. The healthcare professional may iterate this process multiple times to achieve the best results.

4. Qualifying circumstances

CPT 93283 is used for patients with a dual lead transvenous implantable defibrillator system who require evaluation and adjustment of the device’s programming. This procedure is performed by a physician or other qualified healthcare professional. The patient must have an abnormal heartbeat that needs regulation in two chambers of the heart, as measured through the dual lead connection to the device.

5. When to use CPT code 93283

CPT code 93283 should be used when a physician or other qualified healthcare professional performs an in-person programming device evaluation for a dual lead transvenous implantable defibrillator system. This code is appropriate when the provider needs to test the function of the device and select optimal permanent programmed values. It should not be used in conjunction with CPT codes 93287 and 93289.

6. Documentation requirements

To support a claim for CPT 93283, the healthcare professional must document the following information:

• Patient’s diagnosis and the need for programming device evaluation
• Specific details of the evaluation, including the adjustments made to the device’s settings
• Date and duration of the evaluation
• Analysis and review of the data collected from the device
• Comparison of device data to current ECG readings
• Report on the evaluation and any recommendations for further action
• Signature of the physician or qualified healthcare professional performing the evaluation

7. Billing guidelines

When billing for CPT 93283, ensure that the evaluation is performed in person by a physician or other qualified healthcare professional. This code includes both the professional and technical components of the service. It should not be reported with CPT codes 93287 and 93289. Properly identify and report the type of device being evaluated when billing for remote monitoring and transtelephonic monitoring.

8. Historical information

CPT 93283 was added to the Current Procedural Terminology system on January 1, 2009. There have been no updates or changes to the code since its addition.

9. Examples

1. A physician performing an in-person programming device evaluation for a patient with a dual lead transvenous implantable defibrillator system.
2. A cardiologist adjusting the settings of a dual lead transvenous implantable defibrillator system to optimize its performance during an in-person evaluation.
3. A qualified healthcare professional analyzing the data collected from a dual lead transvenous implantable defibrillator system and making necessary adjustments to the device’s programming.
4. A physician reviewing the results of a programming device evaluation for a patient with a dual lead transvenous implantable defibrillator system and providing a report on the findings.
5. A healthcare professional iterating the adjustment of a dual lead transvenous implantable defibrillator system’s programming during an in-person evaluation to achieve optimal performance.
6. A physician analyzing the data stored in a dual lead transvenous implantable defibrillator system and comparing it to current ECG readings to determine the necessary adjustments to the device’s programming.
7. A qualified healthcare professional performing an in-person evaluation of a dual lead transvenous implantable defibrillator system and documenting the analysis, adjustments, and recommendations for further action.
8. A cardiologist connecting a patient to an ECG monitor and programming device to evaluate and adjust the settings of a dual lead transvenous implantable defibrillator system.
9. A physician reviewing the analysis and review of a dual lead transvenous implantable defibrillator system’s data during an in-person programming device evaluation.
10. A qualified healthcare professional performing an in-person evaluation of a dual lead transvenous implantable defibrillator system and providing a report on the findings and recommendations for further action.