How To Use CPT Code 93745

CPT 93745 describes the initial set-up and programming of a wearable cardioverter-defibrillator 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 93745?

CPT 93745 can be used to describe the initial set-up and programming of a wearable cardioverter-defibrillator by a physician or other qualified healthcare professional. This code is used when the provider enters the system’s parameters, establishes a baseline electronic ECG, transmits data to a data repository, provides patient instruction on wearing the system, and instructs the patient on reporting any problems or events related to the device.

2. Official Description

The official description of CPT code 93745 is: ‘Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electronic ECG, transmission of data to data repository, patient instruction in wearing system and patient reporting of problems or events.’

3. Procedure

1. The physician or qualified healthcare professional performs the initial set-up and programming of the wearable cardioverter-defibrillator.
2. They enter the system’s parameters and record the baseline electronic ECG.
3. The provider ensures the transmission of data to a data repository.
4. Patient instruction is provided on wearing the system and reporting any problems or events related to the device.

4. Qualifying circumstances

Patients eligible to receive CPT 93745 services are those who require the initial set-up and programming of a wearable cardioverter-defibrillator. This may include patients with certain heart conditions or those at risk of sudden cardiac arrest. The procedure must be performed by a physician or other qualified healthcare professional.

5. When to use CPT code 93745

CPT code 93745 should be used when a physician or qualified healthcare professional performs the initial set-up and programming of a wearable cardioverter-defibrillator. This code should not be reported in conjunction with CPT codes 93282 and 93292.

6. Documentation requirements

To support a claim for CPT 93745, the physician or qualified healthcare professional must document the following information:

• Patient’s diagnosis or indication for the wearable cardioverter-defibrillator
• Details of the initial set-up and programming, including the system’s parameters
• Baseline electronic ECG recording
• Confirmation of data transmission to a data repository
• Patient instruction on wearing the system and reporting problems or events

7. Billing guidelines

When billing for CPT 93745, ensure that the procedure is performed by a physician or other qualified healthcare professional. It should include the initial set-up and programming of the wearable cardioverter-defibrillator, establishment of a baseline electronic ECG, transmission of data to a data repository, patient instruction on wearing the system, and patient reporting of problems or events. Do not report CPT 93745 in conjunction with CPT codes 93282 and 93292.

8. Historical information

CPT 93745 was added to the Current Procedural Terminology system on January 1, 2005. There was a code change on January 1, 2013, which clarified the description of the procedure.

9. Examples

1. A physician performing the initial set-up and programming of a wearable cardioverter-defibrillator for a patient with a history of cardiac arrhythmias.
2. A qualified healthcare professional entering the system’s parameters and establishing a baseline electronic ECG for a patient at risk of sudden cardiac arrest.
3. A physician instructing a patient on wearing the wearable cardioverter-defibrillator and reporting any problems or events related to the device.
4. A qualified healthcare professional providing patient education on the use of a wearable cardioverter-defibrillator and ensuring data transmission to a data repository.
5. A physician programming a wearable cardioverter-defibrillator for a patient with a newly diagnosed heart condition.
6. A qualified healthcare professional verifying the transmission of data from a wearable cardioverter-defibrillator to a data repository and instructing the patient on wearing the device.
7. A physician setting up a wearable cardioverter-defibrillator for a patient who has undergone cardiac surgery.
8. A qualified healthcare professional establishing a baseline electronic ECG and providing patient instruction on wearing a wearable cardioverter-defibrillator.
9. A physician programming a wearable cardioverter-defibrillator for a patient with a family history of sudden cardiac arrest.
10. A qualified healthcare professional instructing a patient on reporting any problems or events related to a wearable cardioverter-defibrillator and ensuring proper use of the device.