© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 0576T refers to an in-person interrogation device evaluation of an implantable cardioverter-defibrillator (ICD) system that includes a substernal electrode. This procedure is conducted by a physician or another qualified healthcare professional and encompasses a comprehensive analysis, review, and reporting of the device's functionality. The evaluation is crucial when a patient presents symptoms or complaints that may indicate a malfunction of the device or a change in their cardiac function. During the procedure, the patient is connected to an electrocardiogram (EKG) monitor, which facilitates the establishment of a connection between the defibrillator and the interrogation device. The interrogation process involves retrieving stored information regarding the leads, battery status, and heart rhythm and rate data. The healthcare professional reviews this interrogated data to assess various aspects of the device's performance, including battery voltage, lead impedance, and the settings for tachycardia detection and rhythm correction. Additionally, the current programmed parameters of the device are evaluated. The EKG recordings are scrutinized for any signs of arrhythmia, and the stored data is compared with previous evaluations to identify any changes or trends. For implantable defibrillator systems, the analysis includes the number and duration of heart rhythm-related data elements, such as arrhythmias, ectopic beats, and mode switch episodes. The evaluation also ensures that the device is appropriately sensing and capturing the cardiac rhythm, and any alerts generated by the device are thoroughly reviewed. Following the evaluation, the patient is informed of the findings, and a written report detailing the results is provided.
© Copyright 2025 Coding Ahead. All rights reserved.
The in-person interrogation device evaluation of an implantable cardioverter-defibrillator system with substernal electrode is indicated for patients who present with symptoms or complaints that may suggest a malfunction of the device or a change in their cardiac function. This evaluation is essential for monitoring the performance and effectiveness of the ICD system.
The procedure begins with the patient being connected to an electrocardiogram (EKG) monitor to facilitate real-time monitoring of the heart's electrical activity. This connection is crucial for establishing communication between the implantable cardioverter-defibrillator and the interrogation device. Once the connection is established, the healthcare professional proceeds to interrogate the defibrillator, which involves retrieving stored data related to the device's leads, battery status, and heart rhythm and rate. This data retrieval is essential for assessing the overall functionality of the ICD system.
After the interrogation device evaluation is completed, the healthcare professional informs the patient of the findings from the evaluation. A written report detailing the results of the interrogation, including any identified issues or necessary adjustments, is provided to the patient. This report serves as a critical document for ongoing patient management and follow-up care.
| Short Descr | INTERROG DEV EVAL ICDS SS IP | Medium Descr | INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON | Long Descr | Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode, with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter | Status Code | Carriers Price the Code | Global Days | YYY - Carrier Determines Whether Global Concept Applies | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 2021-01-01 | Changed | First appearance of AMA Guideline changes in code book. |
| 2020-07-01 | Changed | AMA Guidelines changed. |
| 2020-01-01 | Added | Code added. |
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