Patients with implantable cardiac devices can be followed remotely using home monitoring portals. This can be an effective way to maintain contact with patients and make sure they’re doing ok even when they’re not in your office.
Billing for these procedures is determined by the device type, and whether professional or technical services were provided. It’s also important to consider the frequency that these follow-ups can be billed.
Implantable pacemaker and defibrillator follow-up can be billed every 91 days. The professional component covers interim analysis, review(s) and report(s) by a physician or other qualified health care professional.
93294 - Pacemakers
93295 - Defibrillators
The technical component covers remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results. The same billing code is used for both pacemakers and defibrillators.
93296 - Technical component for pacemakers or defibrillators
Implantable cardiac monitor and implantable loop recorder follow-up can be billed every 31 delays. The professional component covers analysis of 1 or more recorded physiologic cardiovascular data elements from all internal and external sensors, analysis, review(s) and report(s) by a physician or other qualified health care professional.
93297 - Implantable cardiovascular monitor system (i.e. HF monitors)
93298 - Subcutaneous cardiac rhythm monitor systems (i.e. SQ Loop Records)
The technical component covers remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results
G2066 - Technical component for implantable cardiovascular monitor systems or subcutaneous cardiac rhythm monitor systems.
The analysis of any medical billing or coding question is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice.
Additionally, laws and regulations and insurance and payor policies (as well as coding itself) are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances.
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If you have a question about a specific matter, you should contact a professional advisor directly.