How To Use CPT Code 93288
CPT 93288 describes the evaluation and adjustment of an already implanted pacemaker system 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 93288?
CPT 93288 can be used to describe the evaluation and adjustment of an already implanted pacemaker system by a physician or other qualified healthcare professional. This code represents both the professional and technical components of the service, including the connection, recording, and disconnection of the pacemaker system, as well as the analysis, review, and preparation of a report by the provider.
2. Official Description
The official description of CPT code 93288 is: ‘Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; single, dual, or multiple lead pacemaker system, or leadless pacemaker system.’
3. Procedure
- In this procedure, the provider performs a face-to-face evaluation of an already implanted pacemaker system.
- The provider uses an instrument to retrieve stored and measured information about the leads, sensors, battery, and implanted pulse generator function, as well as data collected about the patient’s heart rhythm and heart rate.
- The retrieved information is then evaluated by the provider to determine the current programming of the device and evaluate certain aspects of its function.
- The provider performs a device interrogation, which includes the connection, recording, and disconnection of the pacemaker system.
- The provider analyzes the retrieved data, reviews the results, and prepares a report based on the evaluation.
4. Qualifying circumstances
CPT 93288 is used for the evaluation and adjustment of an already implanted pacemaker system. This code applies to single, dual, or multiple lead pacemaker systems, as well as leadless pacemaker systems. The procedure must be performed by a physician or other qualified healthcare professional who is capable of performing the evaluation and adjustment of the pacemaker system.
5. When to use CPT code 93288
CPT code 93288 should be used when a physician or other qualified healthcare professional performs a face-to-face evaluation and adjustment of an already implanted pacemaker system. This code represents both the professional and technical components of the service. It should not be reported in conjunction with other specific codes related to pacemaker system evaluation and management.
6. Documentation requirements
To support a claim for CPT 93288, the provider must document the following information:
- Patient’s medical history and indication for the evaluation and adjustment of the pacemaker system
- Specific details of the evaluation and adjustment performed
- Date, start and end time of the encounter
- Results of the evaluation, including any changes made to the pacemaker system
- Preparation of a report summarizing the evaluation and adjustment
- Signature of the physician or other qualified healthcare professional performing the service
7. Billing guidelines
When billing for CPT 93288, ensure that the service is performed by a physician or other qualified healthcare professional. The code includes the connection, recording, and disconnection of the pacemaker system, as well as the analysis, review, and preparation of a report. It should not be reported in conjunction with specific codes related to pacemaker system evaluation and management. Review the specific guidelines and requirements of the payer to ensure accurate billing and reimbursement.
8. Historical information
CPT 93288 was added to the Current Procedural Terminology system on January 1, 2009. There have been two code changes since its addition, with the most recent change occurring on January 1, 2019.
9. Examples
- A physician performing a face-to-face evaluation and adjustment of a single lead pacemaker system for a patient with bradycardia.
