Billing and Coding: Cardiac Rhythm Device Evaluation

This billing and coding policy provides guidance for reporting cardiac rhythm device evaluation services. Key points: report CPT 93292 for analysis of a Wearable Defibrillator System under Medicare Part B, report CPTs 93260, 93261, and 93279-93292 per procedure, and restrict CPTs 93293-93296 to no more than once every 90 days and not for monitoring periods under 30 days. All claims must be supported by legible medical records including patient identification, dates of service, provider signature, and documentation that justifies the selected ICD-10 and CPT/HCPCS codes.

"When billing Medicare Part B for analysis of a Wearable Defibrillator System, report CPT code 93292."

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