2025 CPT code 93288
(Active) Effective Date: N/A Revision Date: N/A Cardiology - Pacemaker and Implantable Defibrillator Evaluation Cardiovascular System Feed
In-person interrogation device evaluation of a pacemaker or implantable defibrillator, without threshold testing or sensitivity evaluation; includes connection, recording, and disconnection.
Modifiers may be applicable depending on the circumstances of the service provided. For example, modifier -26 (professional component) may be used if the technical component is billed separately.
Medical necessity for code 93288 is established by the need for routine monitoring of the implanted device, assessment of device functionality, and evaluation of the patient's cardiac rhythm in relation to the device.This might be required for a variety of reasons including routine maintenance, assessment of symptoms suggestive of malfunction, or post-procedure checks.
The clinical responsibility includes performing the in-person interrogation of the device, analyzing the retrieved data, interpreting the results, and generating a report for the patient's medical record. This may involve adjusting the device programming (though this is not included in this specific code).
- Cardiovascular System
- Cardiovascular System; Pacemaker and Implantable Defibrillator Evaluation; In-person Evaluation without Threshold Testing
In simple words: The doctor checks your implanted pacemaker or defibrillator in the office. They connect to the device to get information about how it's working, look at your heart rhythm, and then disconnect.They don't do any extra tests to check the sensitivity of the device. The doctor reviews the information and creates a report.
This CPT code, 93288, represents an in-person interrogation device evaluation performed on a patient with an implanted pacemaker or implantable cardioverter-defibrillator (ICD).The procedure involves connecting to the device, recording data on the device's function (including leads, sensors, battery, and capture and sensing functions), analyzing the patient's heart rhythm and rate, and disconnecting the device.Threshold testing and sensitivity evaluation are not included. The evaluation includes analysis, review, and report generation by a physician or other qualified healthcare professional. The code encompasses both the professional and technical components of the service.
Example 1: A patient presents to their cardiologist's office for a routine pacemaker check. The cardiologist performs a standard interrogation, reviewing the device's functionality and the patient's rhythm. No adjustments are made to the device's programming, and no threshold testing is performed. Code 93288 is reported., During a hospital admission for an unrelated condition, a patient's implanted ICD needs to be checked. The cardiologist on call performs an in-person interrogation, confirming the device's functionality and the patient's rhythm. No programming adjustments or threshold testing are done. Code 93288 is reported., A patient experiences symptoms suggestive of pacemaker malfunction.The physician performs an in-person interrogation to evaluate the device and assess the patient's rhythm.No reprogramming or threshold testing is deemed necessary at this time. Code 93288 is reported.
Complete documentation should include:* Patient's medical record with indication for the procedure.* Detailed report of the interrogation, including device readings, analysis of rhythm and rate, and any observations.* Documentation of the connection, recording, and disconnection of the device.* Specific statement confirming that threshold testing and/or sensitivity evaluation were not performed.
** Always verify the appropriateness of this code in relation to the services rendered and the payer's specific requirements.Consult with a qualified medical billing specialist for any complex cases or ambiguities.
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier is typically not used with this code unless the professional and technical components are billed separately.Refer to the payer’s specific guidelines.
- Fee Schedule: Historical fee schedule data should be obtained from payer-specific sources and may vary based on location, contract, and year.
- Specialties:Cardiology, Cardiac Electrophysiology
- Place of Service:Office, Hospital, Ambulatory Surgical Center