2025 CPT code 93291
(Active) Effective Date: N/A Revision Date: N/A Cardiology - Cardiac Device Evaluation Medicine Services and Procedures > Cardiovascular Procedures Feed
In-person interrogation device evaluation of a subcutaneous cardiac rhythm monitor, including analysis, review, and report; with connection, recording, and disconnection.
Modifiers 26 (professional component) and 59 (distinct procedural service) may be applicable depending on the circumstances of the service.
Medical necessity is established by the patient's need for cardiac rhythm monitoring, often due to a history of arrhythmias, syncope, or other cardiac conditions.The in-person interrogation is necessary for thorough assessment of device function, rhythm data analysis and proper interpretation.
The physician or other qualified healthcare professional is responsible for establishing the communication link with the subcutaneous cardiac rhythm monitor, downloading and interpreting the data, assessing device function, analyzing rhythm data, and preparing a report of findings. They must be qualified by education, training, and licensure to perform this service and independently report it.
In simple words: The doctor directly connects to the implanted heart monitor, downloads the stored data, and checks if everything is working correctly.They review the heart rhythm information and create a report.
This CPT code 93291 represents an in-person interrogation device evaluation performed by a physician or other qualified healthcare professional on a subcutaneous cardiac rhythm monitor system.The evaluation includes connection to the device, data recording, disconnection, analysis of heart rhythm-derived data, review of findings, and generation of a report.It encompasses a comprehensive assessment of device function, including battery status, impedance, and signal strength, as well as analysis of recorded rhythm episodes (both patient-initiated and automatically detected).
Example 1: A patient with a subcutaneous cardiac rhythm monitor experiences syncope. The physician performs an in-person interrogation to evaluate the device and recorded rhythm data, identifying the cause of the syncope., Routine follow-up for a patient with a subcutaneous cardiac rhythm monitor. The physician performs an in-person interrogation to assess device function, battery status, and rhythm data. No abnormalities are detected., A patient presents with concerns about their subcutaneous cardiac rhythm monitor.The physician performs an in-person interrogation, finding a loose lead. The physician schedules a follow-up procedure to correct the issue.
* Detailed patient history and reason for the interrogation.* Device identification information.* Documentation of the connection, data acquisition, and disconnection process.* Complete analysis of the recorded rhythm data, including interpretation of any alerts or episodes.* Physician's assessment and plan of care based on the findings.* Report generated from the interrogation and analysis.
** This code is for in-person interrogation.Refer to other CPT codes for remote interrogation.
- Revenue Code: T2D (OTHER TESTS - OTHER)
- Global Days: Not applicable. This code is reported per procedure, not within a global period.
- Payment Status: Active
- Modifier TC rule: Modifier TC (technical component) is not applicable to this code as it represents both professional and technical components.
- Specialties:Cardiology, Electrophysiology
- Place of Service:Office, Hospital, Emergency Room