How To Use CPT Code 93297

CPT 93297 describes the evaluation of an implantable cardiovascular physiologic monitor system through telemetric communication for up to 30 days. 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 93297?

CPT 93297 can be used to describe the evaluation of an implantable cardiovascular physiologic monitor system through telemetric communication for a period of up to 30 days. This code is used when a physician or other qualified healthcare professional assesses the data from the monitoring system to determine if the device is functioning normally.

2. Official Description

The official description of CPT code 93297 is: ‘Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, including 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.’

3. Procedure

1. The physician or qualified healthcare professional evaluates the physiologic data from the implantable cardiovascular physiologic monitor system via telemetric communication.
2. The evaluation includes the analysis of one or more recorded physiologic cardiovascular data elements from both internal and external sensors.
3. The provider reviews and analyzes the data captured from the interrogation device evaluation to assess the appropriateness of the system function and validate the integrity of the system.
4. A report is generated based on the analysis and review of the data.

4. Qualifying circumstances

CPT 93297 is used for patients with an implantable cardiovascular physiologic monitor system that requires evaluation through telemetric communication. The evaluation is performed by a physician or other qualified healthcare professional. This code should not be reported in conjunction with other specific codes, as indicated in the notes.

5. When to use CPT code 93297

CPT code 93297 should be used when a physician or qualified healthcare professional evaluates the physiologic data from an implantable cardiovascular physiologic monitor system via telemetric communication. This code is appropriate for up to 30 days of evaluation.

6. Documentation requirements

To support a claim for CPT 93297, the physician or qualified healthcare professional must document the following information:

• Details of the implantable cardiovascular physiologic monitor system being evaluated
• Date range of the evaluation, up to 30 days
• Specific data elements analyzed and reviewed
• Analysis and review findings
• Generated report based on the evaluation

7. Billing guidelines

When billing for CPT 93297, ensure that the evaluation is performed by a physician or qualified healthcare professional. This code represents the professional component of the service only, so modifier 26 should not be appended. It is important to note that CPT 93297 should not be reported with specific other codes, as indicated in the notes.

8. Historical information

CPT 93297 was added to the Current Procedural Terminology system on January 1, 2009. There have been no updates to the code since its addition.

9. Examples

1. A physician evaluating the data from an implantable cardiovascular physiologic monitor system for a patient with a history of arrhythmias.
2. A qualified healthcare professional analyzing the recorded physiologic cardiovascular data elements from an implantable monitor system for a patient with heart failure.
3. A physician reviewing the telemetric communication data from an implantable cardiovascular physiologic monitor system for a patient with a recent cardiac event.
4. A qualified healthcare professional assessing the integrity and function of an implantable monitor system for a patient with a known cardiovascular condition.
5. A physician analyzing the data captured from an implantable cardiovascular physiologic monitor system for a patient with suspected cardiac abnormalities.
6. A qualified healthcare professional reviewing the physiologic data from an implantable monitor system for a patient undergoing treatment for hypertension.
7. A physician evaluating the recorded cardiovascular data elements from an implantable monitor system for a patient with a history of myocardial infarction.
8. A qualified healthcare professional analyzing the telemetric communication data from an implantable monitor system for a patient with a pacemaker.
9. A physician reviewing the physiologic data from an implantable cardiovascular physiologic monitor system for a patient with a recent cardiac surgery.
10. A qualified healthcare professional assessing the recorded cardiovascular data elements from an implantable monitor system for a patient with a known arrhythmia disorder.