2025 CPT code 93745
(Active) Effective Date: N/A Revision Date: N/A Medicine - Cardiovascular Procedures Medicine Services and Procedures > Cardiovascular Procedures Feed
Initial setup and programming of a wearable cardioverter defibrillator (WCD), including baseline ECG, data transmission, and patient instruction.
Modifiers 26 (professional component), 59 (distinct procedural service), and others may apply depending on the circumstances of the service. Consult the CPT manual for appropriate modifier usage.
Medical necessity for 93745 is established by the presence of a medical condition necessitating the use of a WCD, such as a history of life-threatening arrhythmias, to prevent sudden cardiac death. Documentation should support the clinical indication for WCD use and the need for initial setup and programming.
The physician or qualified healthcare professional is responsible for setting up and programming the WCD, obtaining a baseline ECG, ensuring data transmission, and educating the patient on device use and reporting mechanisms.
In simple words: The doctor sets up and programs a wearable heart monitor that can deliver shocks to correct an irregular heartbeat. They take a baseline heart rhythm reading, send the data to a central location, and teach the patient how to use and care for the device.
This CPT code encompasses the initial setup and programming of a wearable cardioverter defibrillator (WCD) by a physician or qualified healthcare professional.The procedure includes: initial programming of the WCD system; establishing a baseline electronic electrocardiogram (ECG); transmitting data to a central data repository; and providing patient instruction on wearing the device and reporting problems or events.
Example 1: A patient with a history of life-threatening arrhythmias is discharged from the hospital with a new WCD. The physician programs the device, obtains a baseline ECG, confirms data transmission, and educates the patient on its use., A patient presents to a cardiology clinic for initial setup and programming of a newly prescribed WCD following a recent cardiac event. The physician performs the procedure, including ECG, data transmission setup, and patient education., A patient experiencing recurrent episodes of syncope undergoes WCD implantation.Post-implant, the physician configures the device, records a baseline ECG, verifies data transmission, and instructs the patient on its operation and reporting any issues.
* Patient's medical history, including cardiac events and arrhythmia details.* Documentation of the WCD programming parameters.* Baseline ECG tracing.* Confirmation of data transmission to the data repository.* Patient education records detailing instructions given to the patient on device use and reporting.
** This code is specific to the initial setup and programming of the WCD. Subsequent adjustments or reprogramming may require different codes.
- Revenue Code: T2D (OTHER TESTS - OTHER)
- Payment Status: Active
- Modifier TC rule: TC modifier is not applicable.
- Specialties:Cardiology, Electrophysiology
- Place of Service:Office, Hospital Outpatient, Ambulatory Surgical Center