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The CPT® Code 93292 refers to an in-person interrogation device evaluation specifically for a wearable defibrillator system. This procedure involves a comprehensive assessment conducted by a physician or another qualified healthcare professional. The evaluation includes several critical components: the connection of the patient to the device, the recording of data, and the disconnection of the device after the assessment is complete. The primary purpose of this evaluation is to determine the functionality of the wearable defibrillator, especially when a patient exhibits symptoms that may indicate device malfunction or alterations in cardiac function. During the evaluation, the healthcare professional establishes a connection between the wearable defibrillator and an interrogation device, allowing for the interrogation of the defibrillator's data. This process includes a thorough review of the electrocardiogram (ECG) recordings to identify any arrhythmias and to assess the overall performance of the defibrillator, including its sensing capabilities and battery status. The findings from this evaluation are documented in a written report, which is provided to the patient, ensuring they are informed about their device's performance and any necessary follow-up actions. This code is billed on a per encounter basis, reflecting the individualized nature of the evaluation process.
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The in-person interrogation device evaluation using CPT® Code 93292 is indicated for patients who present with symptoms or complaints that may suggest a malfunction of the wearable defibrillator system or a change in their cardiac function. This evaluation is crucial for monitoring patients who rely on wearable defibrillators for managing their cardiac health, particularly in situations where there are concerns about the device's performance or the patient's arrhythmic events.
The procedure for CPT® Code 93292 involves several key steps that ensure a thorough evaluation of the wearable defibrillator system. Each step is critical for obtaining accurate data and assessing the device's functionality.
Post-procedure care following the interrogation device evaluation involves informing the patient about the findings from the assessment. The healthcare professional will discuss any necessary adjustments to the defibrillator settings or further monitoring that may be required based on the evaluation results. The patient may also receive instructions on how to manage their device and recognize any symptoms that warrant immediate medical attention. Continuous follow-up may be necessary to ensure the defibrillator remains effective in managing the patient's cardiac condition.
| Short Descr | WCD DEVICE INTERROGATE | Medium Descr | INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR | Long Descr | Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; wearable defibrillator system | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 6 - Special payment adjustment rules on the technical component (TC) of multiple diagnostic cardiovascular services 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 | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | T2D - Other tests - other | MUE | 1 | CCS Clinical Classification | 203 - Electrographic cardiac monitoring |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 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. | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | GC | This service has been performed in part by a resident under the direction of a teaching physician | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | GZ | Item or service expected to be denied as not reasonable and necessary | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2013-01-01 | Changed | Description Changed |
| 2009-01-01 | Added | - |
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