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2025 CPT code 0578T

Remote interrogation device evaluation(s) of a substernal lead implantable cardioverter-defibrillator (ICD) system, for up to 90 days, with interim analysis, review, and report by a physician or other qualified healthcare professional.

Report 0578T only once per 90 days.

In simple words: A physician or other qualified healthcare professional remotely analyzes the function of a substernal lead implantable cardioverter-defibrillator (ICD) system over a period of up to 90 days. They review the transmitted data, assess the device's function and programming, and prepare a report.

Remote interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator system with interim analysis, review(s) and report(s) by a physician or other qualified health care professional. (Do not report 0578T in conjunction with 93294, 93295, 93297, 93298, 0576T) (Report 0578T only once per 90 days)

Example 1: A patient with a substernal lead ICD system transmits data remotely to their physician for evaluation every 30 days over a 90-day period. The physician analyzes the data, reviews the ICD's function, and generates a report., A patient experiences symptoms suggestive of an ICD malfunction. Remote interrogation is performed, and the data is analyzed by the physician to assess the device's function and programming., Following an ICD implantation with a substernal lead, remote monitoring is conducted over 90 days to ensure proper device function and make any necessary programming adjustments based on the data received and analyzed by the physician.

Documentation should include the date of the remote interrogation, the data transmitted from the ICD, the physician's analysis of the data, any programming changes made, and the report generated.

** This code is a Category III code, which is a temporary code for emerging technology, services, and procedures. Category III codes are used for data collection and may not be covered by all payers.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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