CPT^® 93281, Under Implantable, Insertable, and Wearable Cardiac Device Evaluations

The Current Procedural Terminology (CPT^®) code 93281 as maintained by American Medical Association, is a medical procedural code under the range - Implantable, Insertable, and Wearable Cardiac Device Evaluations.

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Summary

In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted multiple lead pacemaker system. He changes various operating functions of the system that senses and regulates the heart’s rhythm in at least three chambers of the heart. This code represents both the professional and technical components of the service.

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What would indicate that iterative adjustments were made to qualify for 93279-93281 (in person) rather than 93288 (in person)? interrogation device evaluation programming device evaluation

I was able to determine that the programming device evaluation includes all the components of the remote/in-person interrogation device evaluation and that the only difference is that the programming ... [ Read More ]

EP coding additional ablation documentation- 93655

Hi, With reference to the 2022 CPT updates below, - 93613 and 93662 are inclusive under 93656. - Since we cannot code 93656 ( AF ABLATION) with 93653( AVNRT/SVT/CTI) , any additional ablation perfo... [ Read More ]

need help with avrt/svt ablation

Hi Bhargavi, As per 2022 - CPT updates , (Do not report 93653 in conjunction with 93600, 93602, 93603, 93610, 93612, 93613, 93618, 93619, 93620, 93621, 93654, 93656) (Do not report 93656 in conjunc... [ Read More ]

93279-93281 vs 93288-93292 Can someone help explain the differences??

(I also posted this in the cardiology section) I have tried to understand the differences between these two different types of evaluations and when I read the code descriptions they sound so similar I... [ Read More ]

93279-93281 vs 93288-93292 Can someone help explain the differences??

I have tried to understand the differences between these two different types of evaluations and when I read the code descriptions they sound so similar I am having trouble discerning how exactly to te... [ Read More ]

Cystoscopy procedure

I am having trouble getting 93281 paid due to medically necessity... the dx codes used are Z95810 and I492.... should I be using something else? thanks... [ Read More ]

Help with pacemaker/ICD billing

Hello all, I have a coding question related to pacemakers and icds... The encounter summary previously read "Patient came in today for routine 1 month pacemaker check. Threshold and sensing test per... [ Read More ]

Bivent Pacemaker with only 2 active leads

A patient is noted to have a Biventricular Pacemaker. I can see in the device analysis that the patient has 3 leads; atrial, right ventricular, left ventricular. The atrial is noted to be "off" and th... [ Read More ]

Pacemaker Programming Within Global Period of Pacemaker/ICD Implant

When a physician reprograms a pacemaker or ICD device either the day after or within 14-20 days after the implant can he/she bill this service separately or does it fall within the global period of th... [ Read More ]

Pacemaker and interogation clarification

[b]device monitoring[/b] for the pacemaker i use the following codes remote(download) 93294, 93296 in office single lead 93279 in office dual lead 93280 in of... [ Read More ]

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