How To Use CPT Code 93284

CPT 93284 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 93284?

CPT 93284 can be used to describe the programming device evaluation procedure for an implantable device. This code is used when a physician or other qualified healthcare professional performs a face-to-face evaluation and optimally adjusts the parameters of a multiple lead defibrillator system to test its function and select the best programmed values. The provider analyzes and reviews the stored pacemaker data, comparing it to current readings, and determines whether any changes need to be made to optimize the device’s performance.

2. Official Description

The official description of CPT code 93284 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; multiple lead transvenous implantable defibrillator system.’

3. Procedure

  1. In this procedure, the provider performs a face-to-face evaluation of an already implanted multiple lead defibrillator system.
  2. The provider connects the patient to a single or multilead electrocardiogram (ECG) monitor, establishing a communication link between the implantable cardioverter defibrillator system and the programmer.
  3. The provider analyzes and reviews several parameters of the stored pacemaker data, comparing it to current readings.
  4. Based on the analysis, the provider determines whether to change the programming of the device to optimize its performance.
  5. The provider may make iterative adjustments to the various operating functions of the device responsible for regulating the heart’s rhythm in more than two chambers.
  6. The provider completes an analysis, review, and report of the procedure.

4. Qualifying circumstances

This procedure is performed on patients with an already implanted multiple lead defibrillator system. The provider must be a physician or other qualified healthcare professional. The procedure involves the evaluation and adjustment of the device’s programming to optimize its function. It is important to note that this code should not be reported in conjunction with codes 93287 and 93289.

5. When to use CPT code 93284

CPT code 93284 should be used when a physician or other qualified healthcare professional performs a face-to-face evaluation and optimally adjusts the parameters of an already implanted multiple lead defibrillator system. This code represents both the professional and technical components of the service.

6. Documentation requirements

To support a claim for CPT 93284, the provider must document the following information:

  • Patient’s diagnosis and the need for programming device evaluation
  • Specific details of the evaluation and adjustment performed
  • Date and duration of the procedure
  • Parameters analyzed and reviewed
  • Changes made to the programming of the device
  • Analysis, review, and report of the procedure
  • Signature of the physician or other qualified healthcare professional performing the service

7. Billing guidelines

When billing for CPT 93284, ensure that the procedure is performed by a physician or other qualified healthcare professional. This code represents both the professional and technical components of the service. It should not be reported in conjunction with codes 93287 and 93289. It is important to follow proper coding guidelines and accurately report the type of device being evaluated.

8. Historical information

CPT 93284 was added to the Current Procedural Terminology system on January 1, 2009. There have been several historical changes to the code, including updates to the description and clarification of its usage.

9. Examples

  1. A physician performing a programming device evaluation and adjustment for a patient with a multiple lead defibrillator system.
  2. A qualified healthcare professional analyzing and reviewing the parameters of an implanted defibrillator system to optimize its performance.
  3. A provider making iterative adjustments to the programming of a multiple lead defibrillator system based on the analysis of stored pacemaker data.
  4. A physician completing an analysis, review, and report of a programming device evaluation for a patient with an implantable defibrillator system.
  5. A qualified healthcare professional evaluating and adjusting the parameters of a multiple lead defibrillator system to ensure its optimal function.
  6. A provider performing a face-to-face evaluation and adjustment of an implanted defibrillator system to select the best programmed values for the patient.
  7. A physician analyzing and reviewing the stored pacemaker data of a multiple lead defibrillator system to determine the need for programming adjustments.
  8. A qualified healthcare professional making iterative changes to the programming of an implanted defibrillator system to optimize its performance.

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