How To Use CPT Code 93287

CPT 93287 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, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 93287?

CPT 93287 can be used to describe the evaluation and programming of device system parameters for an already implanted single, dual, or multiple lead defibrillator system. This code is used when a physician or other qualified healthcare professional performs a face-to-face evaluation before or after a surgical procedure and optimally adjusts the existing parameters of the defibrillator system.

2. Official Description

The official description of CPT code 93287 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 health care professional; single, dual, or multiple lead implantable defibrillator system.’

3. Procedure

1. The provider performs a face-to-face evaluation before or after a surgical procedure.
2. The provider optimally adjusts the existing parameters of an already implanted single, dual, or multiple lead defibrillator system.
3. The provider changes the various operating functions for the defibrillator responsible for sensing and regulating the activity from one, two, or more chambers of the heart.
4. The provider evaluates the interrogation device in person, which includes connection, recording, and disconnection of the implantable defibrillator.
5. The provider analyzes the heart rhythm derived data elements and other relevant information.
6. The provider reviews and reports the findings of the evaluation and programming.

4. Qualifying circumstances

CPT 93287 is performed for patients who have already undergone implantation of a single, dual, or multiple lead defibrillator system. The evaluation and programming of device system parameters are necessary before or after a surgery, procedure, or test. The provider must be a physician or other qualified healthcare professional. This code should not be reported in conjunction with other specific codes listed in the notes section.

5. When to use CPT code 93287

CPT code 93287 should be used when a face-to-face evaluation and programming of device system parameters are performed before or after a surgery, procedure, or test for an already implanted single, dual, or multiple lead defibrillator system. This code should be reported once before and once after the surgery, procedure, or test.

6. Documentation requirements

To support a claim for CPT 93287, the provider must document the following information:

• Reason for the peri-procedural device evaluation and programming
• Specific details of the evaluation and programming performed
• Date and time of the evaluation and programming
• Analysis of heart rhythm derived data elements and other relevant information
• Findings of the evaluation and programming
• Signature of the physician or other qualified healthcare professional

7. Billing guidelines

When billing for CPT 93287, ensure that the evaluation and programming are performed by a physician or other qualified healthcare professional. This code should not be reported in conjunction with specific codes listed in the notes section. Pay attention to the guidelines regarding reporting this code before and after the surgery, procedure, or test. Use appropriate modifiers if necessary.

8. Historical information

CPT 93287 was added to the Current Procedural Terminology system on January 1, 2009. There have been several changes to the code since its addition, including updates to the description and inclusion of specific notes.

9. Examples

1. A physician performs a face-to-face evaluation and programming of device system parameters for a patient with a single lead defibrillator system before and after a surgical procedure.
2. A qualified healthcare professional adjusts the existing parameters of a dual lead defibrillator system for a patient after a cardiac procedure.
3. A physician analyzes the heart rhythm derived data elements of a multiple lead defibrillator system and reports the findings for a patient before a surgical procedure.
4. A provider performs a peri-procedural device evaluation and programming of device system parameters for a patient with a single lead defibrillator system after a test.
5. A qualified healthcare professional evaluates and optimally adjusts the parameters of a dual lead defibrillator system for a patient before a surgical procedure.
6. A physician reviews the analysis and programming of a multiple lead defibrillator system for a patient after a procedure and reports the findings.
7. A provider performs a face-to-face evaluation and programming of device system parameters for a patient with a single lead defibrillator system before a test.
8. A qualified healthcare professional adjusts the existing parameters of a dual lead defibrillator system for a patient after a surgical procedure.
9. A physician analyzes the heart rhythm derived data elements of a multiple lead defibrillator system and reports the findings for a patient after a test.