How To Use CPT Code 93291

CPT 93291 describes the evaluation and analysis of an already implanted subcutaneous cardiac rhythm monitor system by a physician or other qualified healthcare professional. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 93291?

CPT 93291 can be used to describe the evaluation and analysis of an already implanted subcutaneous cardiac rhythm monitor system by a physician or other qualified healthcare professional. This code represents both the professional and technical components of the service.

2. Official Description

The official description of CPT code 93291 is: ‘Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; subcutaneous cardiac rhythm monitor system, including heart rhythm derived data analysis.’

3. Procedure

1. The provider establishes a communication link between the implanted subcutaneous cardiac rhythm monitor system and the programmer.
2. The provider downloads the data stored by the system for review.
3. The provider performs a full interrogation of the data, checking for alert conditions and device alerts related to battery function, voltage, impedance, and signal strength.
4. The provider reviews the recorded rhythm episodes, whether activated by the patient or automatically, for evidence of cardiac rhythm problems.
5. The provider prepares a report based on the analysis and evaluation of the data.

4. Qualifying circumstances

CPT 93291 is used for the evaluation and analysis of an already implanted subcutaneous cardiac rhythm monitor system. The provider must be a physician or other qualified healthcare professional. The service includes the connection, recording, and disconnection of the device, as well as the analysis of heart rhythm derived data.

5. When to use CPT code 93291

CPT code 93291 should be used when a physician or other qualified healthcare professional performs an in-person evaluation and analysis of an already implanted subcutaneous cardiac rhythm monitor system. This code should not be reported in conjunction with codes 33285, 93288-93290, 93298, or 0650T.

6. Documentation requirements

To support a claim for CPT 93291, the provider must document the following information:

• Connection, recording, and disconnection of the subcutaneous cardiac rhythm monitor system
• Date and duration of the encounter
• Results of the analysis and evaluation of heart rhythm derived data
• Any relevant findings or abnormalities
• Preparation of a report based on the analysis
• Signature of the physician or other qualified healthcare professional providing the service

7. Billing guidelines

When billing for CPT 93291, ensure that the service is performed by a physician or other qualified healthcare professional. This code represents both the professional and technical components of the service. Do not report CPT 93291 in conjunction with codes 33285, 93288-93290, 93298, or 0650T.

8. Historical information

CPT 93291 was added to the Current Procedural Terminology system on January 1, 2009. There have been historical changes to the code, including updates on January 1, 2013, and January 1, 2019.

9. Examples

1. A cardiologist performs an in-person evaluation and analysis of a patient’s subcutaneous cardiac rhythm monitor system, reviewing the recorded rhythm episodes and preparing a report based on the findings.
2. A qualified healthcare professional connects to an already implanted subcutaneous cardiac rhythm monitor system, downloads the stored data, and performs a full interrogation to check for any cardiac rhythm problems.
3. A physician reviews the heart rhythm derived data from a patient’s subcutaneous cardiac rhythm monitor system and prepares a report on the analysis and evaluation of the data.
4. An electrophysiologist performs an in-person evaluation and analysis of an implanted subcutaneous cardiac rhythm monitor system, checking for device alerts and abnormalities in the recorded rhythm episodes.
5. A qualified healthcare professional analyzes the heart rhythm derived data from a patient’s subcutaneous cardiac rhythm monitor system and prepares a detailed report on the findings.
6. A physician connects to a subcutaneous cardiac rhythm monitor system, reviews the recorded rhythm episodes, and performs an analysis to identify any cardiac rhythm problems.
7. An electrophysiologist evaluates the heart rhythm derived data from an implanted subcutaneous cardiac rhythm monitor system and prepares a comprehensive report on the analysis and evaluation.
8. A qualified healthcare professional performs an in-person evaluation and analysis of a patient’s subcutaneous cardiac rhythm monitor system, checking for any abnormalities in the recorded rhythm episodes and preparing a report based on the findings.
9. A cardiologist reviews the heart rhythm derived data from a subcutaneous cardiac rhythm monitor system, analyzing the recorded rhythm episodes and preparing a detailed report on the evaluation.