Cardiology Coding Alert

Question: Before doing a complete EP study and A-fib ablation, the doctor turned off the ICD. Patient was placed on VVI, 40 beats per minute mode. After the main procedure was done, the ICD was reprogrammed to monitor plus therapy mode. Which code should I use for the ICD work?Codify MemberAnswer: Review code 93287 (Peri-procedural device evaluation [in person] and programming of device system parameters before or after a surgery, procedure, or test with physician analysis, review and report; single, dual, or multiple lead implantable cardioverter-defibrillator system). In the case you describe, the code applies to the evaluation and programming of the implantable cardioverter defibrillator (ICD) directly after the electrophysiology (EP) study and atrial fibrillation (A-fib) ablation. When reporting only the professional component, append modifier 26 (Professional component).Device rep caution: You should report this code only if the physician performs and documents performing the ICD service. If a device representative [...]