How To Use CPT Code 93292

CPT 93292 describes the evaluation and adjustment of a patient’s wearable defibrillator 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 93292?

CPT 93292 can be used to describe the evaluation and adjustment of a patient’s wearable defibrillator system by a physician or other qualified healthcare professional. This code represents both the professional and technical components of the service, which includes the connection, recording, and disconnection of the device during the patient encounter.

2. Official Description

The official description of CPT code 93292 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; wearable defibrillator system.’

3. Procedure

1. The provider performs a face-to-face evaluation of the patient’s wearable defibrillator system.
2. The provider reviews the data collected by the device, including electrograms, patient episodes, alerts, battery voltage, impedance, pacing, and histograms.
3. The provider assesses the appropriateness of the device’s function and program parameters.
4. If necessary, the provider adjusts the existing parameters of the wearable defibrillator system to optimize its performance.
5. The provider documents the evaluation, analysis, and any adjustments made during the encounter.

4. Qualifying circumstances

CPT 93292 is used when a physician or other qualified healthcare professional evaluates and adjusts a patient’s wearable defibrillator system. The patient must have a wearable defibrillator system, which is an external device worn by individuals at high risk of sudden cardiac arrest. The provider must review the data collected by the device and assess its function and program parameters. The service must be performed in person and include the connection, recording, and disconnection of the device per patient encounter.

5. When to use CPT code 93292

CPT code 93292 should be used when a physician or other qualified healthcare professional performs a face-to-face evaluation and adjustment of a patient’s wearable defibrillator system. This code represents both the professional and technical components of the service. It should not be reported in conjunction with CPT code 93745.

6. Documentation requirements

To support a claim for CPT 93292, the provider must document the following information:

• Patient’s wearable defibrillator system
• Date of the encounter
• Start and end time of the encounter
• Review of device data, including electrograms, patient episodes, alerts, battery voltage, impedance, pacing, and histograms
• Assessment of device function and program parameters
• Any adjustments made to the device
• Signature of the physician or other qualified healthcare professional

7. Billing guidelines

When billing for CPT 93292, ensure that the service is performed by a physician or other qualified healthcare professional. The encounter must include the connection, recording, and disconnection of the wearable defibrillator system. Do not report CPT 93292 in conjunction with CPT code 93745. Consider the location of the testing when coding these services.

8. Historical information

CPT 93292 was added to the Current Procedural Terminology system on January 1, 2009. There have been no updates to the code since its addition.

9. Examples

1. A cardiologist performing a face-to-face evaluation and adjustment of a patient’s wearable defibrillator system to optimize its performance.
2. An electrophysiologist reviewing the data collected by a patient’s wearable defibrillator system and making necessary adjustments during a face-to-face encounter.
3. A cardiac nurse practitioner assessing the function and program parameters of a patient’s wearable defibrillator system and documenting the encounter.
4. A cardiac technician connecting, recording, and disconnecting a patient’s wearable defibrillator system for evaluation by a physician.
5. A cardiac surgeon reviewing the electrograms and patient episodes stored in a patient’s wearable defibrillator system and making adjustments to ensure its proper function.
6. A cardiac electrophysiologist analyzing the histograms and alerts from a patient’s wearable defibrillator system and documenting the encounter.
7. A cardiac nurse performing a face-to-face evaluation and adjustment of a patient’s wearable defibrillator system under the supervision of a physician.
8. An interventional cardiologist reviewing the battery voltage and impedance of a patient’s wearable defibrillator system and making necessary adjustments during a face-to-face encounter.
9. A cardiac technician connecting, recording, and disconnecting a patient’s wearable defibrillator system for evaluation by an electrophysiologist.
10. A cardiac surgeon reviewing the pacing and histograms from a patient’s wearable defibrillator system and making adjustments to optimize its performance.