Intracardiac Electrophysiology Update: Part 2 of 2, Clinical Examples (July 2000)

July 2000 pages 5-9 Coding Communication Intracardiac Electrophysiology Update: Part 2 of 2, Clinical Examples In part one of our series (June 2000 CPT Assistant) we summarized the intent and use of the existing, new, revised, and deleted CPT codes describing the technologic advances associated with cardiac electrophysiology services/procedures. Expanding on this topic, we now present to you a sampling of clinical examples related to the insertion, removal, and electronic analysis of a pacing cardioverter-defibrillator electrode(s)/pulse generator, intracardiac cardioverter, and implantable loop recorder. These examples are offered as a procedural overview only, without depiction of all possible techniques (eg...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article presents procedural examples for intracardiac electrophysiology and related cardiac device services. It is aimed at coders, billing professionals, and clinicians who need to understand the scope of the update and the general types of device implantation, removal, testing, cardioversion, and interrogation topics covered in the July 2000 CPT Assistant discussion. The article is organized around multiple clinical examples and associated procedure descriptions.

Why This Topic Matters

It helps readers assess whether the full article is relevant to coding and documentation for electrophysiology and implantable cardiac device services, while signaling the general areas of guidance discussed in the 2000 update.

Article Sections

  1. Coding Communication

    Introduces the purpose of the update and the general focus on intracardiac electrophysiology and related cardiac device services. It frames the article as a companion to a prior installment.

  2. Clinical Example (33217) / Description of Procedure (33217)

    Presents a procedural example and accompanying overview for a cardiac device implantation-related service. The section summarizes the broad workflow and documentation context described in the article.

  3. Clinical Example (33240, 33241) / Description of Procedure (33240, 33241)

    Covers a device removal and replacement scenario along with the associated procedural overview. The section discusses the broader testing, preparation, and follow-up context for this service type.

  4. Clinical Example (33241, 33244) / Description of Procedure (33241, 33244)

    Describes a clinical example involving generator removal and lead extraction-related services. It also includes a procedural overview and an editorial note about alternative approaches.

  5. Clinical Example (33282) / Description of Procedure (33282)

    Provides an example involving insertion of an implantable monitoring device and the related procedural steps. The section focuses on implantation, pocket creation, and follow-up workflow.

  6. Clinical Example (33284) / Description of Procedure (33284)

    Presents a removal example for an implantable monitoring device. The section summarizes the general removal and post-procedure care context.

  7. Clinical Example (92961) / Description of Procedure (92961)

    Discusses an intracardiac cardioversion example and associated procedure overview. The section describes the broader setup, monitoring, and post-procedure documentation context.

  8. Clinical Example (93727) / Description of Procedure (93727)

    Covers interrogation and data review for an insertable loop recorder. The section focuses on communication with the device, data handling, and reprogramming context.

  9. Clinical Example (93741) / Description of Procedure (93741)

    Presents follow-up analysis for an implantable defibrillator/pacemaker system. The section outlines broad interrogation, stored-data review, and assessment activities.

  10. Clinical Example (93742) / Description of Procedure (93742)

    Continues the discussion of follow-up evaluation for a pacing cardioverter-defibrillator system. The section covers broader reassessment and reprogramming themes.

  11. Clinical Example (93743) / Description of Procedure (93743)

    Provides another device follow-up example centered on interrogation and exercise assessment. The section presents the general documentation and communication workflow.

  12. Clinical Example (93744) / Description of Procedure (93744)

    Concludes with a follow-up example involving device interrogation and reprogramming. The section highlights the broad evaluation of stored data and response to exertion.

What You Will Learn

  • The general scope of intracardiac electrophysiology and cardiac device clinical examples covered in the update.
  • How the article organizes examples around implantation, removal, interrogation, and cardioversion topics.
  • Which broad service categories are illustrated for pacing cardioverter-defibrillator and loop recorder-related care.
  • How the article frames procedural overviews and accompanying description-of-procedure narratives.

Who Should Read This

  • Medical coders
  • CPT/coding professionals
  • Revenue cycle and billing staff
  • Cardiology and electrophysiology clinicians
  • Clinical documentation teams

Codes Discussed


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