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CPT 93280: Dual-Chamber Pacemaker Programming and Optimization
CPT code 93280 covers a face-to-face evaluation and reprogramming of an already implanted dual-lead (dual-chamber) pacemaker, including both professional and technical components. The service involves interrogation of the device, adjustment of sensing and pacing parameters, and optimization of operating functions to manage cardiac rhythm. Nationally, this code is important for cardiac device management, outcomes tied to appropriate programming, and billing clarity for combined professional/technical encounters. Major payers addressed in typical analyses include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will gain a concise clinical and billing profile of CPT code 93280, including the clinical context for device interrogation and programming, typical sites of service, and where to find benchmark and policy information. The publication outlines the service definition, common billing considerations, and what to expect in payer coverage patterns and coding practice. Data not available in the input is clearly indicated where applicable, such as specific payment benchmarks, associated taxonomies, and ICD-10 diagnoses. This summary is intended for national audiences seeking a practical reference on the use and clinical purpose of CPT code 93280.
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Billing Code Overview
CPT code 93280 describes a face-to-face evaluation and optimization of an existing dual-lead pacemaker system, in which the provider adjusts implanted device parameters that sense and regulate the heart's rhythm in two chambers. This service represents both the professional and technical components of device interrogation and programming.
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Service type: Device interrogation and programming with optimization of a dual-chamber pacemaker
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Typical site of service: Outpatient cardiology clinic or hospital outpatient department with direct patient encounter and device programming capabilities