2025 CPT code 93295
(Active) Effective Date: N/A Revision Date: N/A Medicine - Cardiovascular Procedures Feed
Remote analysis of implantable defibrillator data (single, dual, or multiple lead) for up to 90 days, including interim analysis, reviews, and reports by a physician or other qualified healthcare professional.
Modifiers may be applicable in certain circumstances, such as reduced services (modifier 52) or distinct procedural service (modifier 59), as per specific payer guidelines.
Medical necessity for 93295 must be supported by the clinical need for continuous monitoring of the ICD and heart rhythm. This may include conditions like recurrent arrhythmias, recent ICD implantation, optimization of device settings, or geographical limitations hindering regular in-person follow-up.
The physician or other qualified healthcare professional is responsible for remotely accessing and interpreting the data transmitted by the implantable defibrillator. They analyze the device's functionality, including battery life, lead integrity, and programmed parameters. Additionally, they assess the patient's heart rhythm and any recorded events, such as arrhythmias. They provide reports based on the analysis which may necessitate adjustments to device programming or other interventions.
In simple words: This code covers the doctor's remote monitoring and analysis of your heart's implantable defibrillator (ICD) for up to three months. The doctor reviews the data transmitted from your ICD, checks how it's functioning, and makes sure it's working correctly to keep your heart beating safely.A report summarizing these findings is also included.
This code represents the professional component of remote monitoring of single, dual, or multiple lead implantable defibrillator systems for a period of up to 90 days. It includes interim analyses, technical review, and reporting on the remotely obtained data by a physician or other qualified healthcare professional. This involves evaluating device functions (programmed parameters, leads, battery, capture/sensing function, therapy for ventricular tachyarrhythmias), and the underlying heart rhythm.The service includes the physician's or other qualified healthcare professional's interpretation of the data and the generation of reports.
Example 1: A patient with a dual-lead ICD experiences episodes of dizziness. The physician uses remote monitoring (93295) to assess the ICD's function, stored data, and heart rhythm over a 90-day period to determine the cause of symptoms and adjust device programming as needed., Following an ICD implantation, the physician monitors the device remotely (93295) for 90 days to ensure proper function, lead stability, and appropriate therapy delivery, making adjustments to settings as necessary., A patient with an ICD lives in a rural area with limited access to specialized care. The remote monitoring service (93295) enables their physician to regularly evaluate the device's performance and the patient’s heart rhythm without requiring frequent in-person visits.
Documentation should include the interpretation of the remotely obtained data, including device parameters, heart rhythm analysis, any recorded events, and any changes in device programming. Reports summarizing the findings and recommended actions must be maintained in the patient's medical record.
** For remote monitoring of physiologic cardiovascular data elements derived from an implantable defibrillator, use 93297.Do not report 93295 in conjunction with 93289.