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    v1.0.30
    OpenPayerBilling CodesImplantable Cardioverter-Defibrillator with Substernal ElectrodeCPT cpt-0576t-icd-interrogation-and-evaluation-in-person
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    CPT 0576T: In-Person ICD System Interrogation and Evaluation

    CPT code 0576T describes an in-person interrogation and evaluation of an implantable cardioverter–defibrillator (ICD) system performed by an OQHCP or physician, including connecting and disconnecting device components, recording interrogation results, analyzing and reviewing findings, and documenting programmed settings; service type: device interrogation and evaluation; typical site of service: outpatient clinic or hospital setting where device programming and testing are performed.

    For related coverage guidance, see recent payer policy updates: Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation, Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation, Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation.

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    Clinical & Coding Specifications

    Clinical Context

    A 68-year-old male with ischemic cardiomyopathy and a previously implanted single- or dual-lead implantable cardioverter–defibrillator (ICD) presents to the cardiac device clinic for routine device interrogation after remote alerting suggested a high-voltage therapy charge. The patient arrives for an in-person visit where an electrophysiology-trained physician or Other Qualified Healthcare Professional (OQHCP) performs an interrogation of the ICD system. The workflow includes obtaining history and symptoms, reviewing device logs and arrhythmia episodes, connecting the programmer to the ICD, recording sensing, lead impedances, battery status, and therapies delivered, adjusting programmed settings if indicated, documenting findings, and disconnecting the programmer. A written or electronic report of analysis and any reprogramming actions is completed and placed in the medical record. Typical sites of service are the hospital outpatient clinic, ambulatory surgery center device clinic, or office-based cardiac device clinic. The scenario commonly follows alerts for ventricular tachycardia/fibrillation, syncope, inappropriate shocks, routine surveillance, or pre/post procedural checks surrounding generator replacement or lead revision.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    93288Interrogation device evaluation (in-person), program/analysis with reprogramming when performed; includes connective/disconnect and reportOften performed for pacemakers and ICDs; 0576T is specific to ICD system interrogation by OQHCP or physician and may be reported per encounter when this is the service rendered.
    93290Programming device evaluation (in-person) with iterative reprogramming, including connective/disconnect and analysisUsed when more extensive programming and iterative testing are performed beyond a standard interrogation visit and may accompany or follow an ICD interrogation.
    93799Unlisted cardiovascular service or procedureUsed when a specific device-related service is not described by existing codes; occasionally used for atypical device management not captured by 0576T.
    33207Insertion of transvenous single lead implantable defibrillator or cardiac resynchronization ICD systemRelated as an initial implantation procedure preceding future interrogations and follow-up visits coded with 0576T.
    33249Revision or replacement of pacemaker or ICD lead, single or multiple leadsPerformed when interrogation identifies lead malfunction requiring revision; interrogation is part of the pre- and post-procedure evaluation.

    Related Modifiers

    6 rows

    ModifierDescriptionWhen to Use
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    80CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
    82Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207RH0000X
    207RC0000X
    363LF0000X
    363LP0200X
    207Q00000X
    2471V0105X
    227900000X
    225XP0019X

    Related Payer Policy Updates

    Specialty: Cardiology1 / 3

    10 rows

    PolicyPayerEffective Date
    Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillationpremerabluecrossofwashington2027-02-05
    Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillationpremerabluecrossofwashington2027-02-05
    Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillationpremerabluecrossofwashington2027-02-05
    Percutaneous Left Atrial Appendage Closure - Medical PolicyHealth-New-England2027-02-01
    Transcatheter Mitral Valve Repair Medical PolicyHealth-New-England2027-02-01
    Cardiac Electrophysiological (EP) Studies and Cardiac Ablation of Abnormal Electrical RhythmsCigna2027-01-15
    Outpatient Cardiology Procedures for EviCore Arrangement (for Oxford Only)Colorado Rocky Mountain Health Plans2026-11-01
    Biomarkers for Myocardial Infarction and Chronic Heart Failure Reimbursement PolicyHealthfirst2026-11-01
    Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillationpremerabluecrossofwashington2026-11-01
    Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillationpremerabluecrossofwashington2026-11-01

    Related Codes

    CPT-0571T-SUBSTERNAL-ICD-IMPLANTATION-REPLACEMENT

    CPT 0571T: Substernal ICD Implantation or Replacement

    CPT-0572T-SUBSTERNAL-IMPLANTABLE-DEFIBRILLATOR-ELECTRODE-PLACEMENT

    CPT 0572T: Substernal Implantable Defibrillator Electrode Insertion

    CPT-0573T-SUBSTERNAL-DEFIBRILLATOR-ELECTRODE-REMOVAL

    CPT 0573T: Substernal Implantable Defibrillator Electrode Removal

    CPT-0574T-SUBSTERNAL-DEFIBRILLATOR-ELECTRODE-REPOSITIONING

    CPT 0574T: Substernal Implantable Defibrillator Electrode Reposition and Attachment

    CPT-0575T-ICD-PROGRAMMING-EVALUATION-ADJUSTMENT

    CPT 0575T: ICD In-Person Programming and Optimization

    CPT-0577T-SUBSTERNAL-ICD-SYSTEM-ELECTROPHYSIOLOGIC-EVALUATION-AND-PROGRAMMING

    CPT 0577T: ICD System Evaluation and Programming with Substernal Electrode

    CPT-0578T-REMOTE-SUBSTERNAL-LEAD-ICD-FUNCTION-ANALYSIS-90-DAY

    CPT 0578T: Remote Analysis of Substernal-Lead ICD Function, Up to 90 Days

    CPT-0579T-REMOTE-ICD-INTERROGATION-TECHNICIAN-90-DAY

    CPT 0579T: Remote ICD Interrogation and Technician Evaluation, up to 90 Days

    CPT-0580T-SUBSTERNAL-IMPLANTABLE-DEFIBRILLATOR-PULSE-GENERATOR-REMOVAL

    CPT 0580T: Substernal Implantable Defibrillator Pulse Generator Removal

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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