CPT 0927T: Implantable Cardiac Contractility Modulation–Defibrillator Interrogation Evaluation

CPT code 0927T represents an in‑person interrogation and evaluation of an implantable cardiac contractility modulation–defibrillation system. This procedural code documents the hands‑on connection to the implanted device, capture and analysis of device data, clinical review of findings, and preparation of a report. The code is relevant nationally as the use of advanced cardiac implantable devices grows and payers standardize coverage and billing practices for device management services.

Key payers covered in this summary include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for the service, common billing modifiers associated with device services, typical sites of service, and the primary operational components of the encounter. The publication also outlines what to expect in benchmarking and policy discussions: how payers approach coverage for device interrogation services, documentation elements that support medical necessity, and typical reporting elements that accompany device evaluations.

This national‑level summary is intended for clinicians, billing professionals, and policy analysts who need a clear account of what CPT code 0927T captures, why it matters in care delivery and reimbursement workflows, and the areas where payers and providers commonly focus when recording and adjudicating device evaluation services. Data not available in the input.

Billing Code Overview

CPT code 0927T describes an in-person interrogation device evaluation for an implantable cardiac contractility modulation–defibrillation system. The service includes connecting to the implanted device, recording device data, analyzing the information, reviewing the results with clinical interpretation, and preparing a report for the patient’s medical record.

Service Type: Device interrogation and evaluation

Typical Site of Service: Hospital outpatient department or specialized cardiac device clinic (in-person)

Clinical Context

A 68-year-old patient with symptomatic heart failure and reduced ejection fraction, previously implanted with an implantable cardiac contractility modulation–defibrillation (CCM‑D) system, presents for a scheduled in‑person device interrogation. The clinical workflow begins with patient check‑in and device history review, including indication, implantation date, and recent events. The provider performs connection to the device programmer and interrogates stored telemetry and diagnostics, including sensing thresholds, lead integrity, battery status, therapy delivery logs, and arrhythmia records. Recorded data are analyzed for therapy efficacy, arrhythmia detection/appropriate shocks, and device performance issues. The provider reviews findings with the patient and documents clinical interpretation and recommended follow‑up. A formal written report is prepared and placed in the medical record. Typical site of service is an outpatient cardiology clinic or device clinic; occasional evaluations occur in the hospital setting for inpatients with device‑related concerns. Common clinical scenarios include routine scheduled follow‑up, post‑procedure baseline checks, evaluation after syncope or palpitations, and assessment following device alerts or shocks.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural service	Use when work required is substantially greater than typically required for `0927T`, documented and justified in the record.

Taxonomy Code	Specialty	Notes
207RC0000X	Cardiology	Interventional and non‑interventional cardiologists commonly perform device interrogations and interpretation.
207RH0000X	Electrophysiology	Cardiac electrophysiologists specialize in implantable device management and advanced programming.
208VP0013X	Internal Medicine - Cardiovascular Disease	Hospital‑based cardiology providers who manage heart failure patients and device follow‑up.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I50.22`	Chronic systolic (congestive) heart failure	Common indication for CCM therapy and reason for device follow‑up and interrogation.
`I50.23`	Acute on chronic systolic (congestive) heart failure	Device checks often performed after decompensation events to assess device status and therapy delivery.
`I49.01`	Ventricular fibrillation	Detecting and reviewing device‑recorded ventricular arrhythmias and therapy delivery is a primary reason for interrogation.
`I46.9`	Cardiac arrest, cause unspecified	Post‑event interrogation required to evaluate device response and shocks.
`I48.91`	Unspecified atrial fibrillation	Atrial arrhythmias may be recorded by the device and influence device programming and medical management.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`93270`	Programmer analysis of pacemaker, implantable defibrillator, or cardiac resynchronization device with interpretation and report; interrogations remote or in‑person	Often used for device interrogation and reporting; may be billed for additional programmer analysis or when payer prefers physician CPT over category III.
`93279`	Programming device evaluation (in‑person) for pacemaker, implantable defibrillator, or cardiac resynchronization device with analysis, patient counseling and device reprogramming	Performed when active reprogramming is required during the visit following interrogation findings.
`93289`	Interrogation device evaluation with reprogramming of an implanted device including review and report (ICD/CRT‑D)	Used when interrogation results require and include reprogramming of defibrillator therapies; complements `0927T` if reprogramming performed.
`93000`	Electrocardiogram, routine ECG with interpretation and report	Commonly performed before or during device clinic visits to correlate device telemetry with surface ECG findings.
`93268`	Transvenous lead, implant or replacement; transvenous lead extraction	Performed in the same care episode if interrogation demonstrates lead failure requiring lead revision or extraction.

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Summary & Overview