Summary & Overview
CPT 93282: Single-Lead ICD Parameter Evaluation and Adjustment
CPT code 93282 covers in-person evaluation and adjustment of the operating parameters for a previously implanted single-lead transvenous implantable cardioverter-defibrillator (ICD) designed to regulate rhythm in one cardiac chamber. This procedure is clinically important because appropriate device reprogramming can correct arrhythmias, improve device performance, and reduce adverse events for patients with implanted single-lead ICD systems. Nationally, services for device management form a routine but critical component of cardiac electrophysiology practice and ambulatory device clinics.
Key payers referenced include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical intent and typical care settings for the service, along with coverage and benchmarking context where available. The publication highlights commonly reported payer policies, typical sites of service, and how the code is used in clinical workflows for cardiac device management. Data not provided in the input are noted as unavailable. The content is designed to inform billing staff, clinicians, and policy analysts about the clinical scope of CPT code 93282, its role in outpatient device management, and where to look for payer-specific policy details or reimbursement guidance.
Billing Code Overview
CPT code 93282 describes a direct patient encounter in which a provider evaluates and adjusts the operating parameters of a previously implanted single-lead transvenous implantable cardioverter-defibrillator (ICD) system. The service focuses on optimizing device settings to regulate heart rhythm in a single cardiac chamber using a single lead connection.
-
Service type: Device programming and interrogation with in-person evaluation and reprogramming
-
Typical site of service: Outpatient clinic, device clinic, or other ambulatory care setting where implanted cardiac devices are managed
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 68-year-old male with a previously implanted single-lead transvenous implantable cardioverter-defibrillator (ICD) presents to the electrophysiology clinic for evaluation after reported episodes of palpitations and a recent transmitted alert showing nonsustained ventricular tachycardia. The patient arrives for an in-person device clinic visit. The provider performs an interrogation of the device, reviews telemetry and event logs, and evaluates sensing, pacing thresholds, lead impedance, and stored arrhythmia episodes. Based on findings the clinician adjusts detection windows, therapy zones, pacing output, and sensitivity settings to optimize single-chamber rhythm management and reduce inappropriate therapies. The encounter includes device programming changes performed in direct face-to-face contact, device function testing (including capture verification), and documentation of clinical rationale and device parameters.
Typical site of service: outpatient cardiac electrophysiology clinic or hospital-based cardiology clinic.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Significant, separately identifiable E/M service by the same physician on the same day of the procedure | Use when a separate evaluation (history/exam/medical decision-making) is performed and documented on the same day as 93282. |