2025 CPT code 93293
(Active) Effective Date: N/A Medicine - Cardiovascular Procedures Feed
Transtelephonic rhythm strip pacemaker evaluation(s), single, dual, or multiple lead pacemaker system(s), includes recording with and without magnet application, with physician or other qualified healthcare professional analysis, review, and report(s), up to 90 days.
Modifiers may be applicable to 93293 to indicate specific circumstances, such as reduced services (modifier 52) or a repeat procedure by the same physician (modifier 76).
Medical necessity for 93293 must be supported by documentation of a clinically significant reason for the remote evaluation of the pacemaker system, such as symptoms suggestive of pacemaker malfunction, routine surveillance of recently implanted devices, or optimization of device settings.
The physician or other qualified healthcare professional is responsible for analyzing the transmitted rhythm strips, interpreting the pacemaker's function, including lead performance, battery status, capture, and sensing, and generating a report summarizing the findings and recommendations for further management.
In simple words: The doctor checks your pacemaker over the phone using a special device that records your heart rhythm.This recording is done twice: once normally and once with a magnet placed over the pacemaker. The doctor then reviews the recordings to make sure your pacemaker is working correctly.
This code represents a transtelephonic evaluation of a patient's pacemaker using a rhythm strip transmitted over the phone.It includes recording the rhythm strip with and without a magnet applied to the pacemaker, followed by analysis, review, and a report by a physician or other qualified healthcare professional. The service covers single, dual, or multiple lead pacemaker systems and encompasses a period of up to 90 days.
Example 1: A patient with a dual-lead pacemaker experiences palpitations. A transtelephonic evaluation (93293) is performed to assess pacemaker function and rule out any malfunction., A patient with a single-lead pacemaker undergoes a 90-day remote monitoring period using 93293. The physician reviews the transmitted data and confirms normal pacemaker function., A patient with a recently implanted multiple-lead pacemaker has a transtelephonic evaluation (93293) performed to check lead performance and ensure proper device settings.
Documentation should include the date of service, the patient's symptoms (if any), the type of pacemaker system (single, dual, or multiple lead), the interpretation of the rhythm strips with and without magnet application, the assessment of pacemaker function (lead performance, battery status, capture, and sensing), and any recommendations for follow-up care.
- Global Days : Up to 90 days
- Payment Status: Active
- Specialties:Cardiology, Cardiac Electrophysiology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital (if performed during an inpatient stay but clinically related to ongoing outpatient pacemaker management)