How To Use CPT Code 93797

CPT 93797 describes the physician or other qualified healthcare professional services for outpatient cardiac rehabilitation without continuous ECG monitoring. 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 93797?

CPT 93797 can be used to describe the services provided by a physician or other qualified healthcare professional for outpatient cardiac rehabilitation without continuous ECG monitoring. This code is used when the provider supervises the patient during exercise and reviews the patient’s diet, but without continuous ECG monitoring.

2. Official Description

The official description of CPT code 93797 is: ‘Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session).’

3. Procedure

1. A physician or other qualified healthcare professional supervises the patient during outpatient cardiac rehabilitation.
2. The provider monitors the patient’s exercise and reviews their diet.
3. The supervising physician or other qualified healthcare professional must be available for emergencies but does not have to be in the exercise room.
4. This code should be reported for each session of outpatient cardiac rehabilitation without continuous ECG monitoring.

4. Qualifying circumstances

Patients eligible to receive CPT 93797 services are those who require outpatient cardiac rehabilitation without continuous ECG monitoring. This may include patients who have recently undergone cardiac surgery or have a history of heart disease. The services must be provided by a physician or other qualified healthcare professional who is supervising the rehabilitation program.

5. When to use CPT code 93797

CPT code 93797 should be used when a physician or other qualified healthcare professional provides services for outpatient cardiac rehabilitation without continuous ECG monitoring. This code should not be used if continuous ECG monitoring is performed during the rehabilitation session.

6. Documentation requirements

To support a claim for CPT 93797, the healthcare professional must document the following information:

• Supervision of the patient during outpatient cardiac rehabilitation
• Review of the patient’s exercise and diet
• Date and duration of the session
• Any additional services provided during the session
• Signature of the supervising physician or other qualified healthcare professional

7. Billing guidelines

When billing for CPT 93797, ensure that the services are provided by a physician or other qualified healthcare professional and that continuous ECG monitoring is not performed. This code should be reported for each session of outpatient cardiac rehabilitation without continuous ECG monitoring. It is important to note that CPT code 93797 has a zero-day global package, meaning that additional provider services on the same day as cardiac rehab do not require modifier 25 to prevent bundled service denials.

8. Historical information

CPT 93797 was added to the Current Procedural Terminology system on January 1, 1990. The code description was updated on January 1, 2013 to clarify that continuous ECG monitoring is not included in the services.

9. Examples

1. A physician supervising a patient during outpatient cardiac rehabilitation, monitoring their exercise and reviewing their diet without continuous ECG monitoring.
2. A cardiologist providing services for outpatient cardiac rehabilitation without continuous ECG monitoring, ensuring the patient’s safety during exercise and providing guidance on their diet.
3. A qualified healthcare professional overseeing a patient’s outpatient cardiac rehabilitation program, monitoring their progress and making necessary adjustments to their exercise and diet plan.
4. A physician supervising a patient’s outpatient cardiac rehabilitation session, ensuring they are performing exercises correctly and providing education on heart-healthy eating habits.
5. A healthcare professional reviewing a patient’s exercise routine and diet during outpatient cardiac rehabilitation, offering guidance and support to help them recover from a cardiac event.
6. A cardiologist supervising a patient’s outpatient cardiac rehabilitation program, monitoring their exercise tolerance and providing recommendations for improving their cardiovascular health.
7. A physician overseeing a patient’s outpatient cardiac rehabilitation session, monitoring their vital signs and providing guidance on exercise intensity and dietary modifications.
8. A qualified healthcare professional supervising a patient’s outpatient cardiac rehabilitation, ensuring they are following their exercise and diet plan to aid in their recovery.
9. A cardiologist reviewing a patient’s progress during outpatient cardiac rehabilitation, adjusting their exercise program and providing counseling on heart-healthy eating habits.
10. A physician supervising a patient’s outpatient cardiac rehabilitation session, monitoring their response to exercise and providing education on lifestyle modifications for cardiovascular health.