How To Use CPT Code 93286

CPT 93286 describes the peri-procedural device evaluation and programming of device system parameters before or after a surgery, procedure, or test with analysis, review, and report by a physician or other qualified healthcare professional. 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 93286?

CPT 93286 can be used to describe the evaluation and programming of device system parameters for a single, dual, multiple-lead, or leadless pacemaker system before, during, or after a surgery, procedure, or test. This code represents both the technical and professional components of the service provided by a physician or other qualified healthcare professional.

2. Official Description

The official description of CPT code 93286 is: ‘Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review, and report by a physician or other qualified healthcare professional; single, dual, or multiple lead pacemaker system, or leadless pacemaker system.’

3. Procedure

  1. The provider establishes a communication link between the pacemaker and the programmer prior to a planned intervention, such as a test or surgery.
  2. The provider reviews the parameters of the data stored in the device and makes any necessary changes.
  3. The provider completes the device re-interrogation to confirm programming.
  4. During and/or after the test or surgery, the provider determines whether to return the pacemaker to the original programming.
  5. The provider documents the changes in the patient’s chart.

4. Qualifying circumstances

Patients who require evaluation and programming of device system parameters for a single, dual, multiple-lead, or leadless pacemaker system before, during, or after a surgery, procedure, or test are eligible for CPT 93286. The service must be performed by a physician or other qualified healthcare professional.

5. When to use CPT code 93286

CPT code 93286 should be used when a physician or other qualified healthcare professional performs the peri-procedural device evaluation and programming of device system parameters for a single, dual, multiple-lead, or leadless pacemaker system before, during, or after a surgery, procedure, or test. This code should be reported once before and once after the procedure, when the evaluation and programming are performed both times.

6. Documentation requirements

To support a claim for CPT 93286, the provider must document the following information:

  • Patient’s diagnosis and the need for peri-procedural device evaluation and programming
  • Specific parameters reviewed and any changes made
  • Date and time of the evaluation and programming
  • Results of the evaluation and programming
  • Any additional actions taken during or after the procedure
  • Signature of the physician or other qualified healthcare professional providing the service

7. Billing guidelines

When billing for CPT 93286, ensure that the service is performed by a physician or other qualified healthcare professional. Do not report CPT 93286 in conjunction with other specific codes. Follow the guidelines provided by the payer for accurate and appropriate billing.

8. Historical information

CPT 93286 was added to the Current Procedural Terminology system on January 1, 2009. There have been several updates to the code since its addition, with the most recent change occurring on January 1, 2019.

9. Examples

  1. A physician performs a peri-procedural device evaluation and programming of device system parameters for a single-lead pacemaker system before and after a surgery.
  2. A qualified healthcare professional evaluates and adjusts the parameters of a dual-lead pacemaker system during a procedure and prepares a report.
  3. A physician reviews the data stored in a multiple-lead pacemaker system after a test and makes necessary programming changes.
  4. A healthcare professional performs a peri-procedural device evaluation and programming of device system parameters for a leadless pacemaker system before and after a surgery.
  5. A physician analyzes and reviews the parameters of a single-lead pacemaker system before a procedure and prepares a report.
  6. A qualified healthcare professional evaluates and adjusts the parameters of a dual-lead pacemaker system after a test and documents the changes in the patient’s chart.
  7. A physician performs a peri-procedural device evaluation and programming of device system parameters for a multiple-lead pacemaker system during a surgery.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *