2025 CPT code 93283
(Active) Effective Date: N/A Revision Date: N/A Cardiovascular Procedures - Implantable, Insertable, and Wearable Cardiac Device Evaluations Medicine Services and Procedures > Cardiovascular Procedures Feed
In-person programming device evaluation with iterative adjustments to test device function and select optimal settings for a dual-lead transvenous implantable cardioverter-defibrillator (ICD).
Modifiers 26 (professional component) and other applicable modifiers may be used as per guidelines.
Medical necessity is established by the presence of symptoms or findings indicating potential device malfunction or the need for parameter optimization to improve device therapy. Pre- and post-surgical programming evaluations are often medically necessary due to potential interference from surgical equipment or changing patient needs.
The physician or qualified healthcare professional is responsible for connecting the patient to the ECG monitor, analyzing stored and current device data, making necessary programming adjustments to optimize device performance, and documenting the procedure.
- Medicine Services and Procedures > Cardiovascular Procedures
- Implantable, Insertable, and Wearable Cardiac Device Evaluations
In simple words: The doctor checks and adjusts the settings of your implanted heart device (a type that controls heart rhythm in two parts of the heart) to make sure it's working correctly and is set to best manage your heartbeat.
This CPT code encompasses an in-person evaluation and programming of a dual-lead transvenous implantable cardioverter-defibrillator (ICD).The procedure involves iterative adjustments of the device's programmable parameters to assess capture thresholds and select optimal permanent programmed values. The evaluation includes analysis of retrieved data, review of device function (including battery, leads, sensing, pacing, and defibrillation capabilities), and generation of a report by a qualified healthcare professional.
Example 1: A patient with a dual-lead ICD presents with symptoms suggestive of device malfunction. The physician performs an in-person programming evaluation, adjusting settings to improve sensing and pacing function.Post-procedure ECG confirms improved rhythm., Prior to a planned surgery, a patient with a dual-lead ICD undergoes a pre-procedural programming evaluation to temporarily adjust settings to mitigate potential interference from surgical equipment. Post-surgery, the device is reprogrammed to optimal settings., A patient experiences recurrent episodes of ventricular tachycardia. The physician performs an in-person programming evaluation, modifying the device's anti-tachycardia pacing parameters to reduce the frequency of these episodes. Follow-up confirms reduced tachycardia occurrences.
* Detailed patient history, including symptoms and reason for evaluation.* Pre- and post-procedure ECG tracings.* Device interrogation data, including pre- and post-programming parameter values.* Physician's notes documenting the evaluation, adjustments made, and rationale.
** This code is specifically for dual-lead transvenous ICDs.Different codes exist for single-lead and multi-lead ICDs.Always ensure accurate device identification.
- Revenue Code: T2D (OTHER TESTS - OTHER)
- RVU: RVUs will vary based on location and payer.Consult your local fee schedule or payer contract.
- Payment Status: Active
- Modifier TC rule: Modifier TC (technical component) is not applicable to this code as it represents a professional service.
- Fee Schedule: Historical fee schedules vary widely by payer and location. Consult historical payer fee schedules for specific data.
- Specialties:Cardiology, Cardiac Electrophysiology
- Place of Service:Office, Hospital, Ambulatory Surgical Center