2025 CPT code 93297
(Active) Effective Date: N/A Revision Date: N/A Cardiology - Remote Interrogation Device Evaluation Medicine Services and Procedures > Cardiovascular Procedures Feed
Remote interrogation device evaluation of an implantable cardiovascular physiologic monitor system, analyzing data from internal and external sensors, with analysis, review, and report by a qualified professional.
Modifiers may be applicable depending on the circumstances of the service. Consult the CPT manual and payer guidelines for specific modifier usage.
Medical necessity for this service is established by the presence of an implantable cardiovascular physiologic monitoring system and the need to remotely monitor and assess the patient's cardiovascular status to optimize management of a specific condition, such as heart failure. Documentation must support the medical necessity, demonstrating that the remote monitoring is essential for managing the patient's condition.The 10-day monitoring period must be included in this documentation.
The physician or other qualified healthcare professional is responsible for reviewing the transmitted data, analyzing the system's function, and assessing the safety of the programmed parameters. The clinical responsibility includes interpreting the physiologic data, identifying any potential issues or abnormalities, and adjusting the device's settings as needed to ensure optimal patient care.
In simple words: The doctor or healthcare professional uses information sent remotely from a device inside the body to check how it's working. The information includes readings from sensors inside and outside the body. They review this information, analyze it, and create a report on the device's performance.
This CPT code, 93297, represents a remote interrogation device evaluation performed for patients with an implantable cardiovascular physiologic monitor system.The evaluation includes the analysis of at least one recorded physiologic cardiovascular data element from internal and/or external sensors. The process involves reviewing data transmitted remotely, interpreting the information, and generating a report summarizing the findings. This report includes analysis of programmed parameters, lead(s) (if applicable), battery function, capture and sensing function, and an assessment of overall system integrity.The evaluation must cover a monitoring period of at least 10 days; otherwise, the code is not reportable.It is limited to one report per patient every 30 days.
Example 1: A patient with heart failure has an implantable cardiovascular physiologic monitor. The physician remotely reviews the data (blood pressure, heart rate, etc.) over a 30-day period and generates a report detailing the findings and adjustments if any.Code 93297 is reported., A patient with a newly implanted cardiovascular physiologic monitor undergoes remote monitoring for 15 days. This is insufficient to report 93297, which requires at least 10 days of data. The monitoring period must reach at least 10 days before reporting the code., A patient has remote monitoring for 45 days. The physician reviews the data and generates a report at the 30-day mark. Code 93297 is reported at the 30-day point. Another report at 45 days would only be reported if there is a clinically significant event or change requiring additional documentation. A second 93297 would not be appropriate until the next 30-day cycle.
* Detailed report of the remote interrogation, including the date and time of the interrogation.* Identification of the specific implantable cardiovascular physiologic monitoring system used.* Documentation of the physiologic cardiovascular data elements reviewed, including specific values and trends.* Physician's interpretation and analysis of the data, including any adjustments to device settings.* Physician's assessment of the device function, including any abnormalities or potential problems.* Patient's clinical status relevant to the data interpreted.
** Always refer to the most current CPT codebook and payer-specific guidelines for accurate billing and coding practices.
- Revenue Code: T2D (OTHER TESTS - OTHER)
- RVU: RVUs will vary based on geographic location and other factors. Consult your local Medicare Administrative Contractor (MAC) for specific payment rates.
- Global Days: This is a global service.The global period for this service is 30 days.The code should be reported once per 30-day period, provided the monitoring period is at least 10 days.
- Payment Status: Active
- Modifier TC rule: No Technical Component (TC) modifier applies to this code.
- Fee Schedule: Historical fee schedule data is unavailable. Consult your payer's fee schedule or a reliable fee schedule database for reimbursement information.
- Specialties:Cardiology, Cardiac Electrophysiology
- Place of Service:Office, Hospital, other locations where remote monitoring is performed