2025 CPT code 93287
(Active) Effective Date: N/A Revision Date: N/A Cardiology - Implantable, Insertable, and Wearable Cardiac Device Evaluations Cardiovascular Procedures Feed
Peri-procedural in-person device evaluation and programming of an implantable cardioverter-defibrillator (ICD) system before and/or after a surgery, procedure, or test.
Modifiers may apply in certain situations (e.g., modifier 26 for professional component, modifier 59 for distinct procedural service, etc.).Consult the CPT manual and local payer guidelines.
Medical necessity is established by the need for peri-procedural evaluation and programming of the ICD to ensure optimal device function before, during (if applicable), and after a surgical, other procedural, or diagnostic intervention. This is particularly relevant in situations where the procedure may interfere with the device’s operation or when symptoms suggest malfunction.
The physician or other qualified healthcare professional is responsible for the in-person evaluation, interrogation, analysis, and programming of the ICD system. This includes reviewing stored data, assessing device function, and making necessary adjustments to the device’s settings to ensure proper operation before, during (if applicable), and after the procedure.
- Cardiovascular Procedures
- Cardiovascular Procedures > Implantable, Insertable, and Wearable Cardiac Device Evaluations
In simple words: The doctor checks and adjusts a heart defibrillator before and/or after an operation or test to make sure it works correctly during and after the procedure. This involves reviewing the device’s data and making any necessary setting changes.
This CPT code encompasses the in-person evaluation and programming of a single, dual, or multiple lead implantable cardioverter-defibrillator (ICD) system's parameters before and/or after a surgical procedure, other procedure, or diagnostic test.The service includes device interrogation to retrieve stored data (leads, sensors, battery, pulse generator function, heart rhythm, and heart rate), analysis of this data to determine current programming and evaluate device function (battery voltage, lead impedance, tachycardia detection, and rhythm treatment settings), and adjustment of programmable parameters as needed.Both the technical and professional components are included in this code.When body surface-activation mapping is also performed to optimize electrical synchrony, report 0696T in conjunction with 93287.
Example 1: A patient with an ICD is scheduled for cardiac ablation.Prior to the procedure, 93287 is performed to ensure the ICD is programmed to safely interact with the ablation equipment (e.g., turned off or reprogrammed during the procedure to prevent interference). After the procedure, 93287 is repeated to restore the device to the patient’s optimal settings., A patient requires an elective surgical procedure that may interfere with the proper functioning of their ICD. Before the surgery, the physician performs a peri-procedural evaluation (93287) and re-programs the device to mitigate any potential interference, ensuring patient safety. After the surgery, the physician performs another peri-procedural evaluation (93287) and re-programs the device to its optimal settings., A patient experiences symptoms suggestive of ICD malfunction.An in-person interrogation and programming evaluation (93287) is performed to assess the device function, review the stored data, and modify the settings to restore optimal function.
** This code should only be reported when the physician or other qualified healthcare professional performs an in-person interrogation and programming evaluation of the ICD.It should not be billed when implanting or replacing an ICD.Documentation of medical necessity is essential for reimbursement.
- Global Days: Not applicable.This is a per-procedure code, billed separately before and/or after procedures.
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier is not applicable to this code, as it represents both the professional and technical components.
- Specialties:Cardiology, Cardiac Surgery
- Place of Service:Office, Hospital, Ambulatory Surgical Center, Emergency Room