How To Use CPT Code 93298

CPT 93298 refers to the evaluation of a subcutaneous cardiac rhythm monitor system, including data analysis and report by a physician or 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 93298.

1. What is CPT 93298?

CPT 93298 is a code used to describe the evaluation of a subcutaneous cardiac rhythm monitor system, which is performed remotely by a physician or other qualified health care professional. This evaluation includes the analysis of recorded heart rhythm data, review(s), and report(s) for a period of up to 30 days.

2. 93298 CPT code description

The official description of CPT code 93298 is: “Interrogation device evaluation(s), (remote) up to 30 days; subcutaneous cardiac rhythm monitor system, including analysis of recorded heart rhythm data, analysis, review(s) and report(s) by a physician or other qualified health care professional.”

3. Procedure

The 93298 procedure involves the following steps:

1. The provider, a physician or other qualified health care professional, evaluates the data from a previously implanted subcutaneous cardiac rhythm monitor system via telemetric communication for a period of up to 30 days.
2. The provider assesses the system function and evaluates the safety of the current programmed parameters to determine whether the device functions normally.
3. The provider reviews the report of automated rhythm detection and optimal rhythm detection and validates whether further cardiac evaluation is required.

4. Qualifying circumstances

Eligibility for CPT code 93298 services is determined by the following criteria:

• The patient must have a previously implanted subcutaneous cardiac rhythm monitor system.
• The evaluation must be performed remotely by a physician or other qualified health care professional.
• The evaluation period must not exceed 30 days.

5. When to use CPT code 93298

It is appropriate to bill the 93298 CPT code when a physician or other qualified health care professional remotely evaluates the data from a previously implanted subcutaneous cardiac rhythm monitor system for a period of up to 30 days. This evaluation includes the analysis of recorded heart rhythm data, review(s), and report(s).

6. Documentation requirements

To support a claim for CPT 93298, the following information must be documented:

• Patient’s demographic information, including name, date of birth, and medical record number.
• Date of the evaluation.
• Details of the subcutaneous cardiac rhythm monitor system, including the manufacturer, model, and serial number.
• A summary of the recorded heart rhythm data, including any abnormal findings.
• Analysis, review(s), and report(s) by the physician or other qualified health care professional.
• Any recommendations for further cardiac evaluation or treatment, if applicable.

7. Billing guidelines

When billing for CPT code 93298, keep in mind the following guidelines and rules:

• This code represents the professional component of the service only, so you should not append modifier 26, Professional component.
• Do not report 93298 in conjunction with 33285, 93291, 93297, 99091, or 99454.
• Report 93298 only once per 30 days.
• For remote monitoring of an implantable wireless pulmonary artery pressure sensor, use CPT code 93264.

8. Historical information

CPT 93298 was added to the Current Procedural Terminology system on January 1, 2009. There have been two updates since its addition:

• Code Changed on January 1, 2013: “Interrogation device evaluation(s), (remote) up to 30 days; implantable loop recorder system, including analysis of recorded heart rhythm data, physician analysis, review(s) and report(s)”
• Code Changed on January 1, 2019: “Interrogation device evaluation(s), (remote) up to 30 days; implantable loop recorder system, including analysis of recorded heart rhythm data, analysis, review(s) and report(s) by a physician or other qualified health care professional”

9. Similar codes to CPT 93298

Five similar codes to CPT 93298 and how they differentiate are:

1. CPT 93297: This code is used for the evaluation of an implantable cardiovascular physiologic monitor system, rather than a subcutaneous cardiac rhythm monitor system.
2. CPT 93291: This code is used for the evaluation of a wearable cardiac telemetry system, instead of a subcutaneous cardiac rhythm monitor system.
3. CPT 93264: This code is used for the remote monitoring of an implantable wireless pulmonary artery pressure sensor, not a subcutaneous cardiac rhythm monitor system.
4. CPT 99091: This code is used for the collection and interpretation of physiologic data, not specifically for the evaluation of a subcutaneous cardiac rhythm monitor system.
5. CPT 99454: This code is used for remote physiologic monitoring services, not specifically for the evaluation of a subcutaneous cardiac rhythm monitor system.

10. Examples

Here are 10 detailed examples of CPT code 93298 procedures:

1. A 65-year-old patient with a history of atrial fibrillation has a subcutaneous cardiac rhythm monitor system implanted. The physician remotely evaluates the recorded heart rhythm data for a period of 30 days and provides a report.
2. A 55-year-old patient with a history of syncope has a subcutaneous cardiac rhythm monitor system implanted. The physician remotely evaluates the recorded heart rhythm data for a period of 20 days and provides a report.
3. A 70-year-old patient with a history of ventricular tachycardia has a subcutaneous cardiac rhythm monitor system implanted. The physician remotely evaluates the recorded heart rhythm data for a period of 30 days and provides a report.
4. A 60-year-old patient with a history of palpitations has a subcutaneous cardiac rhythm monitor system implanted. The physician remotely evaluates the recorded heart rhythm data for a period of 25 days and provides a report.
5. A 50-year-old patient with a history of unexplained syncope has a subcutaneous cardiac rhythm monitor system implanted. The physician remotely evaluates the recorded heart rhythm data for a period of 15 days and provides a report.
6. A 75-year-old patient with a history of atrial flutter has a subcutaneous cardiac rhythm monitor system implanted. The physician remotely evaluates the recorded heart rhythm data for a period of 30 days and provides a report.
7. A 45-year-old patient with a history of unexplained dizziness has a subcutaneous cardiac rhythm monitor system implanted. The physician remotely evaluates the recorded heart rhythm data for a period of 10 days and provides a report.
8. A 80-year-old patient with a history of supraventricular tachycardia has a subcutaneous cardiac rhythm monitor system implanted. The physician remotely evaluates the recorded heart rhythm data for a period of 30 days and provides a report.
9. A 40-year-old patient with a history of unexplained chest pain has a subcutaneous cardiac rhythm monitor system implanted. The physician remotely evaluates the recorded heart rhythm data for a period of 5 days and provides a report.
10. A 85-year-old patient with a history of bradycardia has a subcutaneous cardiac rhythm monitor system implanted. The physician remotely evaluates the recorded heart rhythm data for a period of 30 days and provides a report.