2025 CPT code 93264
(Active) Effective Date: N/A Medicine - Cardiovascular Procedures Feed
Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads of pulmonary artery pressure recordings, interpretation, trend analysis, and reports.
Modifiers applicable with correct justification if required.
Medically necessary for patients requiring continuous monitoring of pulmonary artery pressure to manage conditions like heart failure or pulmonary hypertension. This allows for proactive intervention and adjustments in the treatment plan, preventing potential exacerbations or hospitalizations.
Physician or other qualified healthcare professional responsible for downloading, interpreting, analyzing, and reporting the data from the wireless pulmonary artery pressure sensor.
In simple words: A doctor regularly checks the information sent from a small sensor in your heart that measures blood pressure. This helps them keep track of your heart health and make sure any problems are caught early.
Remote monitoring of a wireless pulmonary artery pressure sensor (e.g., CardioMEMS) for up to 30 days, encompassing at least weekly downloads of pulmonary artery pressure recordings, interpretation of the data, analysis of trends, and generation of reports by a physician or other qualified healthcare professional. This involves the healthcare professional receiving and analyzing the transmitted data, interpreting the results, identifying trends, and creating reports for patient management.
Example 1: A patient with heart failure has a CardioMEMS sensor implanted. The physician uses 93264 to bill for the remote monitoring services provided, including weekly data downloads, interpretation, and reporting., A patient with a history of pulmonary hypertension is being monitored remotely using a wireless pulmonary artery pressure sensor. The physician uses 93264 to report the remote monitoring services., A patient recovering from a heart surgery requires continuous monitoring of pulmonary artery pressure. The implanted sensor data is remotely monitored, and the physician reports 93264 for the service.
Documentation should include details of the remote monitoring, including the frequency of data downloads, interpretations, trend analysis performed, and the reports generated. Records of patient's condition, medical necessity, and response to the monitoring should also be maintained.
** Code 93264 is specifically for the professional component of remote monitoring of implantable wireless pulmonary artery pressure sensor using a system like CardioMEMS.It includes the technical component as well. For the technical component only, hospitals may bill G2066, but not in conjunction with 93264 by the same provider.
- Revenue Code: P2F (MAJOR PROCEDURE, CARDIOVASCULAR - OTHER)
- Global Days: 30 days
- Specialties:Cardiology, Heart Failure Specialists, Interventional Cardiology
- Place of Service:Office, Outpatient Hospital, Telehealth Provided in Patient’s Home