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Official Description

Electronic analysis of antitachycardia pacemaker system (includes electrocardiographic recording, programming of device, induction and termination of tachycardia via implanted pacemaker, and interpretation of recordings)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 93724 refers to the electronic analysis of an antitachycardia pacemaker system, which is a critical procedure for patients with specific heart rhythm disorders. This procedure involves a comprehensive evaluation of the pacemaker system to ensure its proper functioning and effectiveness in managing tachycardia, a condition characterized by an abnormally fast heart rate. During the analysis, electrocardiographic (ECG) recordings are taken to monitor the heart's rhythm while the pacemaker is assessed. The process includes interrogating the pacemaker generator with an external sensing device to gather data on its performance. Additionally, the leads of the antitachycardia system are examined to confirm they are operating correctly and can effectively sense changes in heart rate and rhythm. The procedure also involves inducing tachycardia through the implanted pacemaker to test the system's response. This is crucial for evaluating the feedback mechanism between the leads and the generator, ensuring that the device can detect an increase in heart rate and rhythm and respond appropriately by delivering a shock to terminate the arrhythmia. The timing and energy level of the shock are assessed to confirm they meet the necessary parameters for effective treatment. Following the evaluation, the physician may reprogram the device based on the findings to optimize its performance. A written interpretation of the evaluation results, including the ECG recordings, is provided to document the procedure and inform any necessary adjustments to the patient's treatment plan.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The electronic analysis of an antitachycardia pacemaker system, as described by CPT® Code 93724, is indicated for patients experiencing tachycardia or other arrhythmias that require monitoring and management through an implanted pacemaker. This procedure is typically performed when there is a need to evaluate the effectiveness of the pacemaker in controlling heart rhythm, ensuring that the device is functioning correctly, and confirming that it can appropriately respond to episodes of tachycardia.

  • Tachycardia - A condition where the heart beats faster than normal, necessitating the use of an antitachycardia pacemaker for management.
  • Arrhythmias - Irregular heartbeats that may require monitoring and intervention through the pacemaker system.
  • Device Functionality Check - Routine evaluations to ensure the pacemaker system is operating as intended.

2. Procedure

The procedure for the electronic analysis of an antitachycardia pacemaker system involves several critical steps to ensure comprehensive evaluation and functionality of the device.

  • Step 1: Electrocardiographic Recording - The procedure begins with the collection of electrocardiographic recordings to monitor the patient's heart rhythm. This step is essential for assessing how the heart responds during the evaluation of the pacemaker system.
  • Step 2: Interrogation of the Generator - An external sensing device is used to interrogate the pacemaker generator. This allows the healthcare provider to gather data regarding the device's performance and any potential issues that may need addressing.
  • Step 3: Evaluation of Antitachycardia Leads - The leads connected to the antitachycardia pacemaker are checked to ensure they are functioning correctly. This involves verifying that the leads can accurately sense changes in heart rate and rhythm.
  • Step 4: Induction of Tachycardia - The implanted pacemaker is used to induce tachycardia. This step is crucial for testing the system's response to rapid heart rates and ensuring it can effectively manage such episodes.
  • Step 5: Feedback System Evaluation - The feedback mechanism between the leads and the generator is evaluated to confirm that the device can detect an increase in heart rate and rhythm. This ensures that the antitachycardia generator is triggered to deliver a shock when necessary.
  • Step 6: Shock Timing and Energy Level Assessment - The timing of the shock delivered by the pacemaker is assessed to ensure it occurs within the set time parameters. Additionally, the energy level of the shock is evaluated to confirm it is sufficient to terminate the arrhythmia effectively.
  • Step 7: Verification of Heart Rate and Rhythm Return - After the shock is delivered, the leads are checked again to verify that the patient's heart rate and rhythm have returned to normal, indicating the effectiveness of the intervention.
  • Step 8: Device Reprogramming - Based on the evaluation findings, the physician may reprogram the device to optimize its performance and ensure it meets the patient's needs.

3. Post-Procedure

After the electronic analysis of the antitachycardia pacemaker system is completed, the patient may be monitored for a short period to ensure there are no immediate complications or adverse reactions to the procedure. The physician will provide a written interpretation of the evaluation results, including the ECG recordings, which will be documented in the patient's medical record. Any necessary adjustments to the pacemaker settings will be communicated to the patient, along with instructions for follow-up care and monitoring. Patients may be advised to report any unusual symptoms or changes in their heart rhythm following the procedure, ensuring ongoing assessment of the pacemaker's effectiveness.

Short Descr ELEC ALYS ANTITCHYCAR PM SYS
Medium Descr ELECTRONIC ALYS ANTITACHYCARDIA PACEMAKER SYS
Long Descr Electronic analysis of antitachycardia pacemaker system (includes electrocardiographic recording, programming of device, induction and termination of tachycardia via implanted pacemaker, and interpretation of recordings)
Status Code Active Code
Global Days 000 - Endoscopic or Minor Procedure
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 Procedure or Service, Not Discounted when Multiple
Type of Service (TOS) 5 - Diagnostic Laboratory
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.
22 Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service.
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).
58 Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78.
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.
78 Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.)
79 Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.)
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
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
Date
Action
Notes
2025-01-01 Changed Short and Medium Descriptions changed.
1994-01-01 Added First appearance in code book in 1994.
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