CPT® Code 93287

Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple lead implantable defibrillator system

A peri-procedural device evaluation is a critical process that involves the assessment and programming of an implantable defibrillator system's parameters in relation to surgical or procedural interventions. This evaluation is conducted either before or after a surgery, procedure, or diagnostic test, ensuring that the device operates optimally during these critical times. The evaluation is performed by a physician or another qualified healthcare professional who is responsible for analyzing, reviewing, and reporting on the device's functionality and settings. During this evaluation, the healthcare provider informs the patient about the necessity of temporarily adjusting the cardiac device parameters. This includes discussing the planned changes to the device settings, the expected duration of these changes, and the timing for restoring the device to its baseline settings or adjusting it to appropriate post-procedure parameters. To facilitate this process, a connection is established between the implantable defibrillator system and a programming device. The healthcare professional interrogates the device to access and review stored data, which encompasses patient-specific information, system parameters, and an evaluation of any leads, sensors, and battery status. Necessary adjustments to the device's programming are made, and subsequent interrogation is performed to confirm that these changes have been successfully implemented. The physician or qualified healthcare professional also evaluates the patient to ensure that they are tolerating the temporary changes well and that their cardiac condition remains stable throughout the procedure. After the surgical or procedural intervention, the patient undergoes a follow-up evaluation, during which the cardiac device parameters may be reverted to their pre-procedure settings if deemed appropriate. The patient is then re-evaluated, and any necessary adjustments are made to ensure optimal device performance. Finally, the patient receives instructions regarding any follow-up services or procedures that may be required post-evaluation.