How To Use CPT Code 93750

CPT 93750 describes the interrogation of a ventricular assist device (VAD) 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 93750?

CPT 93750 can be used to describe the in-person interrogation of a ventricular assist device (VAD) by a physician or other qualified healthcare professional. During this procedure, the provider analyzes the device parameters, such as drivelines, alarms, and power surges, and reviews the device function, including flow and volume status, septum status, and recovery. If necessary, the provider may also reprogram the device and provide a report of their findings.

2. Official Description

The official description of CPT code 93750 is: ‘Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of device function (eg, flow and volume status, septum status, recovery), with programming, if performed, and report.’

3. Procedure

1. The provider begins by disconnecting the VAD battery and attaching the device to a monitor.
2. The monitor downloads data from the VAD, including device parameters and function.
3. The provider compares this data to recorded information and checks for patient compliance with instructions.
4. If necessary, the provider may reprogram the VAD to optimize its settings.
5. The provider completes the procedure by taking any additional steps required and documenting their findings in a report.

4. Qualifying circumstances

CPT 93750 is used when a ventricular assist device (VAD) requires in-person interrogation by a physician or other qualified healthcare professional. This procedure is typically performed for patients with heart failure who rely on the VAD for adequate blood flow. The provider must analyze device parameters, review device function, and may reprogram the device if necessary.

5. When to use CPT code 93750

CPT code 93750 should be used when a physician or other qualified healthcare professional performs an in-person interrogation of a ventricular assist device (VAD). This code is appropriate when the provider analyzes device parameters, reviews device function, and potentially reprograms the device. It should not be reported in conjunction with certain other codes, such as 33975, 33976, 33979, 33981-33983.

6. Documentation requirements

To support a claim for CPT 93750, the provider must document the following information:

• Patient’s diagnosis and indication for VAD interrogation
• Specific device parameters analyzed and reviewed
• Date and duration of the in-person interrogation
• Details of any reprogramming performed
• Findings and conclusions from the interrogation
• Signature of the physician or qualified healthcare professional performing the procedure

7. Billing guidelines

When billing for CPT 93750, ensure that the procedure is performed in person by a physician or other qualified healthcare professional. It is important to follow the specific guidelines for reporting this code and to avoid reporting it with certain other codes. Additionally, consider the location of the testing and whether both professional and technical components are involved.

8. Historical information

CPT 93750 was added to the Current Procedural Terminology system on January 1, 2010. There was a code change on January 1, 2013, which updated the description to include analysis of device parameters by a physician.

9. Examples

1. A cardiologist performing an in-person interrogation of a ventricular assist device (VAD) to analyze device parameters and review device function.
2. A cardiac surgeon reprogramming a VAD during an in-person interrogation to optimize its settings for a patient with heart failure.
3. An electrophysiologist analyzing the device parameters and reviewing the function of a VAD during an in-person interrogation for a patient with a septal defect.
4. A cardiovascular nurse specialist performing an in-person interrogation of a VAD and documenting their findings in a report for the managing physician.
5. A cardiac rehabilitation therapist assisting in the in-person interrogation of a VAD and providing feedback on device parameters and function to the physician.
6. A cardiac technician conducting an in-person interrogation of a VAD and comparing the data to recorded information to ensure proper device function.
7. A cardiovascular surgeon reviewing the findings of an in-person VAD interrogation performed by another physician and providing interpretation and recommendations.
8. An interventional cardiologist analyzing the device parameters and reviewing the function of a VAD during an in-person interrogation for a patient with heart failure and arrhythmias.
9. A cardiac nurse practitioner performing an in-person interrogation of a VAD and reprogramming the device to address issues with flow and volume status.
10. A cardiac electrophysiologist conducting an in-person interrogation of a VAD and providing a detailed report of their findings to the patient’s primary care physician.