Wiki Dual chamber device check in "single" mode

[torih@nwurology.com]

Hello,
When a provider performs a programming device check (ICD or pacemaker), should the CPT code selected be based on the type of generator (battery) or on the number of leads which are in use? For example, should a dual chamber pacemaker with a capped atrial lead be billed as 93280 or 93279?
The CPT definitions for device interrogations refer to single, dual, or multi-lead "systems", but I can't seem to get clarification on whether all the applicable leads have to be present and/or in use to justify billing one code vs. another.

Thanks in advance.

 

[bevhillcpc]

single vs dual lead

If you have a "capped" atrial lead, then don't you have a single chamber pacemaker? Unless you get a reading from the capped lead, I don't see how you could bill it as a dual?