How To Use CPT Code 93724

CPT 93724 describes the electronic analysis of an antitachycardia pacemaker system, which includes recording the heart rate, programming the device, inducing and terminating tachycardia, and interpreting the recordings. 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 93724?

CPT 93724 can be used to describe the electronic analysis of an antitachycardia pacemaker system. This procedure involves recording the paced heart rate, programming the device, inducing and terminating tachycardia, and interpreting the recordings. It is performed by a healthcare provider to assess the functionality and effectiveness of the pacemaker system in controlling abnormal rapid heart rhythms.

2. Official Description

The official description of CPT code 93724 is: ‘Electronic analysis of antitachycardia pacemaker system (includes electrocardiographic recording, programming of device, induction and termination of tachycardia via implanted pacemaker, and interpretation of recordings).’

3. Procedure

1. The healthcare provider connects the patient to a single lead electrocardiograph monitor to obtain a strip of data.
2. He then analyzes the data and places a magnet over the pacemaker to obtain further ECG strips for analysis.
3. The provider also reviews telemetric information related to programmed parameters, battery status, impedance, and a summary of antitachycardia events.
4. Noninvasive stimulation is used to attempt to initiate tachyarrhythmia to ensure the pacemaker is functioning properly.
5. The provider interprets the findings and assesses the effectiveness of the pacemaker system in preventing or reversing tachycardia.

4. Qualifying circumstances

CPT 93724 is performed on patients with an antitachycardia pacemaker system in place. The procedure is used to assess the functionality and effectiveness of the pacemaker system in controlling tachycardia, an abnormal rapid heart rhythm. It is typically performed by a healthcare provider with expertise in cardiac electrophysiology or cardiology.

5. When to use CPT code 93724

CPT code 93724 should be used when a healthcare provider performs the electronic analysis of an antitachycardia pacemaker system. This code is appropriate when the provider records the heart rate, programs the device, induces and terminates tachycardia, and interprets the recordings. It is important to note that CPT code 93724 should not be reported if other similar codes, such as CPT codes 93721-93723, are already performed within the same session.

6. Documentation requirements

To support a claim for CPT 93724, the healthcare provider must document the following information:

• Patient’s medical history and indication for the analysis of the pacemaker system
• Specific details of the analysis, including the recorded heart rate, programmed parameters, and any induced or terminated tachycardia events
• Interpretation of the recordings and assessment of the pacemaker system’s functionality
• Date and duration of the procedure
• Signature of the healthcare provider performing the analysis

7. Billing guidelines

When billing for CPT 93724, ensure that the procedure involves the electronic analysis of an antitachycardia pacemaker system. The healthcare provider should document the necessary information to support the claim. It is important to review the specific billing guidelines of the payer to ensure compliance with their requirements. Additionally, CPT code 93724 should not be reported if other similar codes, such as CPT codes 93721-93723, are already performed within the same session.

8. Historical information

CPT 93724 was added to the Current Procedural Terminology system on January 1, 1994. There have been no updates or changes to the code since its addition.

9. Examples

1. A cardiologist performs the electronic analysis of an antitachycardia pacemaker system, recording the heart rate, programming the device, inducing and terminating tachycardia, and interpreting the recordings.
2. A cardiac electrophysiologist reviews the telemetric information of a patient’s pacemaker system, assesses the programmed parameters, and analyzes the summary of antitachycardia events.
3. A healthcare provider uses noninvasive stimulation to attempt to initiate tachyarrhythmia and evaluates the pacemaker system’s response.
4. A cardiac technician connects a patient to a single lead electrocardiograph monitor and obtains ECG strips for analysis of the pacemaker system’s functionality.
5. A healthcare provider interprets the findings of the electronic analysis and assesses the effectiveness of the pacemaker system in preventing or reversing tachycardia.
6. A cardiac electrophysiologist programs the antitachycardia pacemaker system based on the analysis of the recorded heart rate and the patient’s specific needs.
7. A healthcare provider reviews the impedance measurements of the pacemaker lead to identify any potential issues with the system.
8. A cardiologist analyzes the electrocardiographic recordings to determine the efficacy of the pacemaker system in controlling tachycardia.
9. A cardiac technician places a magnet over the pacemaker to obtain further ECG strips for analysis and interpretation.