2025 CPT code 93296
(Active) Effective Date: N/A Revision Date: N/A Medicine - Cardiovascular Procedures Feed
Remote interrogation device evaluation of single, dual, multiple lead, or leadless pacemaker or implantable defibrillator systems (up to 90 days), including data acquisition, transmission, technician review, technical support, and result distribution.
Modifiers may be applicable. Common modifiers for this code include 52 (Reduced Services), 76 (Repeat Procedure or Service by Same Physician), and 77 (Repeat Procedure or Service by Another Physician).
Medical necessity for this code is established by the need for remote monitoring of the cardiac device to evaluate its function and the patient's heart rhythm.This monitoring allows for early detection of device issues or arrhythmias, facilitating timely intervention and potentially preventing adverse events.
The technician is responsible for remotely accessing the implantable device, retrieving and analyzing transmitted data, and providing technical support to the physician. The data reviewed include programmed parameters, battery status, lead integrity, and heart rhythm information. The technician then distributes the findings to the physician for interpretation and patient management.
In simple words: A technician remotely checks your heart device (pacemaker or defibrillator) over a period of up to 90 days. They collect data, review it, and share the information with your doctor.
This code encompasses the technical service of remote monitoring of a patient's pacemaker or implantable defibrillator system for a duration of up to 90 days. It includes the remote acquisition of data, receiving transmissions, technical review by a technician, technical support, and distribution of results. This service is applicable to single, dual, or multiple lead pacemaker systems, as well as leadless pacemaker and implantable defibrillator systems.It's important to note that this code should not be reported if the monitoring period is less than 30 days.
Example 1: A patient with a single-lead pacemaker undergoes remote monitoring for 90 days to assess device function and heart rhythm. The technician collects and reviews the data, then sends a report to the cardiologist., A patient with an implantable defibrillator experiences an episode of irregular heart rhythm. The device transmits data remotely, and the technician reviews the transmission to identify any device malfunction or necessary adjustments., A patient with a recently implanted leadless pacemaker receives remote monitoring for 30 days to ensure proper device function and integration with the heart. Data collected remotely are reviewed by the technician and shared with the physician.
Documentation should include details of the remote monitoring process, including data collected (e.g., programmed parameters, lead integrity, battery status, heart rhythm), the dates of the monitoring period, and the technician's review and report.
** As of December 1st, 2024, this information is current. However, medical coding guidelines are subject to change. It is essential to refer to the most up-to-date CPT manual and payer guidelines for accurate billing and reimbursement.
- Revenue Code: T2D - OTHER TESTS - OTHER
- Global Days: Up to 90 days
- Payment Status: Active
- Modifier TC rule: Modifier TC is not applicable, as this code inherently represents only the technical component.
- Specialties:Cardiology, Cardiac Electrophysiology
- Place of Service:Office, Outpatient Hospital, and other places of service where remote monitoring is performed.