2025 CPT code 93284
(Active) Effective Date: N/A Revision Date: N/A Cardiology - Implantable, Insertable, and Wearable Cardiac Device Evaluations Cardiovascular Procedures Feed
In-person programming device evaluation with iterative adjustments of a multiple-lead transvenous implantable cardioverter-defibrillator (ICD) system to test device function and select optimal programmed values.
Modifiers may be applicable depending on the circumstances of the service.Consult the CPT manual and payer guidelines for appropriate modifier usage.
Medical necessity for 93284 is established by the need to optimize the function of the ICD system based on patient symptoms, device malfunction, or anticipated interference from other medical procedures (such as surgery). The physician's documentation should clearly justify the medical need for the iterative adjustments and reprogramming.
The physician or other qualified healthcare professional is responsible for connecting the patient to an ECG monitor, establishing communication with the ICD system, analyzing stored data, comparing it to current readings, determining the need for reprogramming, and making the necessary iterative adjustments to optimize device performance.
In simple words: The doctor checks and adjusts the settings of a heart defibrillator implanted in the patient's heart to make sure it's working correctly and programmed for the best heart rhythm. This involves making several adjustments, testing each one, and finally setting the device to the best settings for the patient.
This CPT code represents an in-person programming device evaluation involving iterative adjustments to a multiple-lead transvenous implantable cardioverter-defibrillator (ICD) system.The evaluation includes testing the device's function and selecting optimal permanent programmed values.The physician or qualified healthcare professional analyzes, reviews, and reports the findings.This code encompasses both the professional and technical components of the service.Code 0696T should be reported in conjunction with 93284 if body surface-activation mapping is performed to optimize electrical synchrony.
Example 1: A patient with a multiple-lead ICD experiences recurrent episodes of ventricular tachycardia. The physician performs an in-person programming evaluation (93284) to adjust the device's tachycardia detection and therapy parameters to better manage these episodes., A patient is scheduled for a cardiac surgery.Prior to surgery, the physician performs a pre-operative programming evaluation (93284) to temporarily adjust the ICD's settings to mitigate the risk of interference from surgical equipment. A second evaluation is performed post-operatively (also 93284) to restore the device to its optimal post-operative settings., A patient presents with symptoms suggestive of ICD malfunction. The physician conducts an in-person evaluation (93284), making iterative adjustments to the device's parameters to optimize its function and resolve the reported issues.During this evaluation, body surface-activation mapping is performed (0696T) to further enhance electrical synchrony.
Detailed medical record documentation should include the reason for the evaluation, the specific parameters adjusted, the results of each iterative adjustment, the final programmed settings, and the physician's assessment of the device's performance after the programming changes.
** This code is specifically for multiple-lead transvenous ICD systems.For other types of devices or lead configurations, refer to the appropriate CPT code.
- RVU: RVUs vary based on geographic location and payer.Consult a fee schedule or pricing database for specific values.
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier is not applicable to 93284 as it includes both professional and technical components.
- Fee Schedule: Historical fee schedule data is not provided but can be obtained from relevant fee schedules.
- Specialties:Cardiology, Cardiac Electrophysiology
- Place of Service:Office, Hospital, Ambulatory Surgical Center