How To Use CPT Code 93294

CPT 93294 is a code used for remote interrogation device evaluation of pacemaker systems by a physician or other qualified health care professional. This article will cover the description, procedure, qualifying circumstances, usage, documentation requirements, billing guidelines, historical information, similar codes, and examples of CPT 93294.

1. What is CPT 93294?

CPT 93294 is a medical billing code used for the remote interrogation device evaluation of single, dual, or multiple lead pacemaker systems, or leadless pacemaker systems, with interim analysis, review(s), and report(s) by a physician or other qualified health care professional. This code is used when a provider remotely analyzes the function of a pacemaker system for a period of up to 90 days, reviews the results, and prepares a report.

2. 93294 CPT code description

The official description of CPT code 93294 is: “Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, or leadless pacemaker system with interim analysis, review(s) and report(s) by a physician or other qualified health care professional.”

3. Procedure

1. The provider receives transmitted data from the pacemaker through an external device that can send data via a telephone or the Internet.
2. The provider evaluates the data with assessment of the appropriateness of the function of the pacemaker, safety of the current programmed parameters, and if the device functions normally.
3. The data includes a report of the programmed parameters, lead, battery, capture and sensing function, and underlying heart rhythm.
4. After the analysis, the provider reviews the results and prepares a report.
5. Report CPT 93294 only once per 90 days.

4. Qualifying circumstances

Eligible recipients of CPT code 93294 services are patients with single, dual, or multiple lead pacemaker systems, or leadless pacemaker systems, who require remote interrogation device evaluation by a physician or other qualified health care professional. The evaluation must be performed remotely, and the provider must analyze the function of the pacemaker system for a period of up to 90 days, review the results, and prepare a report.

5. When to use CPT code 93294

It is appropriate to bill the 93294 CPT code when a physician or other qualified health care professional remotely analyzes the function of a single, dual, multiple lead, or leadless pacemaker system for a period of up to 90 days, reviews the results, and prepares a report. This code should be used for remote evaluations only and should not be reported in conjunction with 93288 or 93293. CPT 93294 should be reported only once per 90 days.

6. Documentation requirements

To support a claim for CPT 93294, the following information must be documented:

• Patient’s demographic information, including name, date of birth, and insurance information.
• Date of service and location of service.
• Type of pacemaker system (single, dual, multiple lead, or leadless).
• Details of the remote interrogation device evaluation, including the data received, analysis performed, and any issues identified.
• Results of the evaluation, including the appropriateness of the function of the pacemaker, safety of the current programmed parameters, and if the device functions normally.
• Provider’s review of the results and preparation of a report.

7. Billing guidelines

When billing for CPT code 93294, follow these guidelines:

• Do not report CPT 93294 in conjunction with 93288 or 93293.
• Report CPT 93294 only once per 90 days.
• Ensure that all required documentation is included in the patient’s medical record to support the claim.
• Verify that the patient meets the qualifying circumstances for receiving CPT 93294 services.

8. Historical information

CPT 93294 was added to the Current Procedural Terminology system on January 1, 2009. The code has undergone changes in its descriptor on January 1, 2013, and January 1, 2019.

9. Similar codes to CPT 93294

Five similar codes to CPT 93294 and how they differentiate are:

1. CPT 93288: In-person interrogation device evaluation with programming.
2. CPT 93289: Remote interrogation device evaluation for implantable cardioverter-defibrillator systems.
3. CPT 93292: In-person interrogation device evaluation for wearable defibrillator systems.
4. CPT 93293: Remote interrogation device evaluation for implantable cardioverter-defibrillator systems with interim analysis.
5. CPT 93295: Remote interrogation device evaluation for implantable cardiovascular monitor systems.

10. Examples

Here are 10 detailed examples of CPT code 93294 procedures:

1. A patient with a single lead pacemaker system requires a remote interrogation device evaluation to assess the function of the pacemaker and the safety of the current programmed parameters.
2. A patient with a dual lead pacemaker system undergoes a remote interrogation device evaluation to determine if the device is functioning normally and if any adjustments are needed.
3. A patient with a multiple lead pacemaker system has a remote interrogation device evaluation to monitor the underlying heart rhythm and assess the appropriateness of the pacemaker’s function.
4. A patient with a leadless pacemaker system receives a remote interrogation device evaluation to evaluate the battery, capture, and sensing function of the device.
5. A patient with a single lead pacemaker system undergoes a remote interrogation device evaluation to assess the function of the pacemaker after a recent adjustment to the programmed parameters.
6. A patient with a dual lead pacemaker system has a remote interrogation device evaluation to monitor the device’s function and ensure the safety of the current programmed parameters.
7. A patient with a multiple lead pacemaker system receives a remote interrogation device evaluation to assess the device’s function and determine if any adjustments are needed.
8. A patient with a leadless pacemaker system undergoes a remote interrogation device evaluation to monitor the underlying heart rhythm and evaluate the battery, capture, and sensing function of the device.
9. A patient with a single lead pacemaker system has a remote interrogation device evaluation to assess the function of the pacemaker and the safety of the current programmed parameters after a recent adjustment.
10. A patient with a dual lead pacemaker system receives a remote interrogation device evaluation to monitor the device’s function and ensure the appropriateness of the pacemaker’s function.