2025 CPT code 93279
(Active) Effective Date: N/A Revision Date: N/A Medicine - Cardiovascular Procedures Feed
In-person programming device evaluation with iterative adjustments and analysis for a single lead or leadless pacemaker system in one cardiac chamber.
Modifiers may be applicable in certain situations.For example, modifier 26 may be used to report only the professional component of the service.
Medical necessity for 93279 is established when the patient's pacemaker requires in-person evaluation and programming adjustments to ensure optimal function and address symptoms or potential problems.
The physician or other qualified healthcare professional performs the technical and professional components of the service. They connect the patient's pacemaker to a programmer, analyze the data, adjust settings iteratively to optimize function, and document the findings in a report.
In simple words: This procedure involves a doctor connecting a patient's pacemaker to a computer to check its function and adjust its settings. The doctor analyzes the data, makes adjustments, tests the pacemaker, and provides a report. This is done for pacemakers with a single lead or without any leads (leadless).
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; single lead pacemaker system or leadless pacemaker system in one cardiac chamber.
Example 1: A patient with a single-lead pacemaker experiences dizziness. The physician performs an in-person programming device evaluation (93279) to adjust the pacemaker settings and optimize its function., A patient receives a new leadless pacemaker. The physician performs a 93279 to program the device and ensure it functions correctly based on the patient's individual needs., A patient with a single-lead pacemaker undergoes a surgical procedure.A pre-procedural device evaluation (93286) is performed to adjust the device settings for the procedure, and a post-procedural programming device evaluation (93279) is performed to optimize the device settings for the patient's post-operative condition.
Documentation should include details of the device interrogation, iterative adjustments made, analysis of the device's performance, and the final programmed parameters. The report should summarize the findings and any changes made to the device settings.
** Code 93279 is reported per procedure. For monitoring by wearable devices, refer to codes 93224-93272.
- Specialties:Cardiology, Cardiac Electrophysiology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital