Billing and Coding: Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs): Office, Hospital, Web, or Non-Web Based
A53018
Medicare covers surveillance of implanted or wearable ICDs by face-to-face or remote interrogation to monitor device behavior, investigate discrete symptoms (post-shock, syncope, palpitations), evaluate suspected malfunction, perform peri-procedural device management, and for routine follow-up. Remote interrogation (CPT 93295/93296) is a single billable 90-calendar-day service (beginning at initiation of remote monitoring or day 91 post-implant) and bundles any in-person interrogations during that period; in-person interrogations (CPT 93287/93289/93292) may be billed each time when medically necessary. Documentation requirements include device implant date/ID, physician order, all transmissions and reports, symptom details when present, and the interpreting physician's signed analysis; services must use FDA-approved systems and be performed/reported by appropriately trained physicians.
"ICD surveillance (face-to-face or remote) is covered to monitor device behavior or to investigate symptoms such as post-event shock, syncope/near-syncope, palpitations, suspected malfunction, or de..."