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CPT 93288: Pacemaker System Reprogramming, Evaluation and Reporting
CPT code 93288 captures a bundled service in which a clinician conducts a face-to-face evaluation and then optimally adjusts the programming parameters of an implanted single, dual, multiple lead, or leadless pacemaker system, reviews the post-adjustment results, and prepares a formal report. This combined professional and technical service is central to ongoing device management and can impact patient safety, device performance, and downstream utilization of cardiac services. Nationally, accurate coding for device reprogramming supports appropriate reimbursement, continuity of care, and quality measurement for cardiac electrophysiology services.
Key payers addressed in this publication include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical service represented by CPT code 93288, the typical settings where the service occurs, and the components included in the code. The publication provides benchmarks for utilization and coverage themes, summarizes relevant policy considerations affecting billing and documentation, and situates the code within clinical workflows for pacemaker follow-up and optimization. Data limitations are noted where input information is incomplete. The content is intended for national health policy, billing, and clinical audiences seeking a clear, operational overview of CPT code 93288 and its role in cardiac device management.
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Billing Code Overview
CPT code 93288 describes a face-to-face evaluation with optimization of an already implanted single, dual, multiple lead, or leadless pacemaker system, followed by review of results and preparation of a report. This code represents both the professional and technical components when performed by a physician or other qualified health care professional.
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Service type: Device interrogation with programming and optimization following implant, including evaluation and reporting
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Typical site of service: Hospital outpatient department, ambulatory surgery center, or physician office where implantable cardiac device follow-up and reprogramming are performed
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