what is the cpt code for interrogation of biv/icd

A note in the CPT®manual indicates that 33270 should not be reported together with subcutaneous lead insertion (33271), programming (93260), interrogation (93261), or electrophysiological evaluation (93644).

Full Answer

What is the HCPCS code for interrogation device evaluation?

Instead, CMS has implemented a HCPCS code – G2066 – to replace 93299 to use as the technical code to complement 93297 and 93298. Also Know, what is interrogation device evaluation?

Can I code a pacemaker to a BIV ICD?

Because you are upgrading from a Pacemaker system to an BIV ICD system, the new "package" type codes don't apply to your situation. You have to code the removal of the pacemaker components seperately from the insertion of the ICD components.

What is the CPT code for pacemaker interrogation?

What is the CPT code for pacemaker interrogation? Coding Clarification: CPT code 93296 refers to pacemaker systems in addition to implantable cardiac defibrillator systems in its descriptor. About Us.

What is the implant procedure for ICD?

ICD Implant Procedure The implant of an ICD system requires the use of an ICD pulse generator and a defibrillation electrode, or lead, placed in the right ventricle for a single chamber system.

What is the CPT code for BIV ICD?

CPT® 33249, Under Pacemaker or Implantable Defibrillator Procedures.

What does CPT code 93295 mean?

CPT® 93295, Under Implantable, Insertable, and Wearable Cardiac Device Evaluations. The Current Procedural Terminology (CPT®) code 93295 as maintained by American Medical Association, is a medical procedural code under the range - Implantable, Insertable, and Wearable Cardiac Device Evaluations.

What is procedure code 93298?

93298 - is for an interrogation device evaluation of a subcutaneous cardiac rhythm monitor system. G2066 (formerly 93299) – is the technical component for both types of device interrogation evaluations.

What is procedure code 93288?

CPT® Code 93288 in section: Interrogation device evaluation (in person) with physician analysis, review and report, includes connection, recording and disconnection per patient encounter.

What is CPT G2066?

CPT G2066. Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results.

What is procedure code 64400?

CPT® Code 64400 - Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves - Codify by AAPC.

What is procedure code 93280?

CPT® 93280 in section: Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed ... more.

What is procedure code 93229?

External Mobile Cardiac Telemetry MonitorsExternal Mobile Cardiac Telemetry Monitors CPT code 93229 is the technical component of this service and includes all of the following within a course of treatment that includes up to 30 consecutive days of cardiac monitoring: Patient hook-up and patient-specific instruction and education.

What is procedure code 33286?

Introduction or Removal of Subcutaneous Cardiac Rhythm MonitorCPT® 33286, Under Introduction or Removal of Subcutaneous Cardiac Rhythm Monitor. The Current Procedural Terminology (CPT®) code 33286 as maintained by American Medical Association, is a medical procedural code under the range - Introduction or Removal of Subcutaneous Cardiac Rhythm Monitor.

What is the procedure code 93010?

According to CPT coding principles, a physician should select "the procedure or service that accurately identifies the service performed." CPT 93010 is defined as an "Electrocardiogram, routine ECG with at least 12-leads; interpretation and report only." CPT 93042 is defined as "Rhythm ECG, one to three leads; ...

What is procedure code 93282?

CPT® Code 93282 in section: Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional.

What does CPT code 93294 mean?

CPT® 93294, Under Implantable, Insertable, and Wearable Cardiac Device Evaluations. The Current Procedural Terminology (CPT®) code 93294 as maintained by American Medical Association, is a medical procedural code under the range - Implantable, Insertable, and Wearable Cardiac Device Evaluations.

What is ICD coding?

The Cardiac Pacemakers, Implantable Cardioverter Defibrillators (ICD), Cardiac Resynchronization Therapy and Implantable/Insertable Cardiac Monitors (ICM) Coding Guide is intended to provide reimbursement educational information tied to use of these products when used consistently with the products' labeling. This guide includes information regarding coverage, coding and reimbursement, as well as general information regarding appealing denied claims and supporting documentation.

What is a diagnostic code?

Diagnosis codes are used by both hospitals and physicians to document the indication for the procedure. For Cardiac Pacemaker, Implantable Cardioverter Defibrillator (ICD) and Implantable/Insertable Cardiac Monitors (ICM) patients, there are many possible diagnosis code scenarios and a wide variety of possible combinations. The possible scenarios and combinations are too numerous to capture in this document. The customer should check with their local carriers or intermediaries and should consult with legal counsel or a financial, coding or reimbursement specialist for coding, reimbursement or billing questions related to ICD-10-CM diagnosis codes.

What is the code for transvenous lead placement?

In certain circumstances, an additional lead may be required to achieve pacing of the left ventricle (biventricular pacing). In this event, the additional transvenous lead placement should be separately reported using 33224 or 33225. 33226 is reported for repositioning. See the Cardiac Resynchronization Therapy section, pages 27-38, for more information.

What is the CPT code for remote cardiac monitoring?

Effective January 1, 2020, the code for the technical component of remote monitoring for Implantable Cardiovascular Physiologic Monitoring Systems and Implantable/Insertable Cardiac Monitors (ICMs), CPT‡ Code 93299, will be deleted. The Centers for Medicare & Medicaid Services (CMS) created a new G-code, G2066, to report this service. G2066 can be reported by physicians and outpatient hospitals. G2066 will continue to be carrier-priced, as 93299 was, and the description of the code will be the same. See pages 49 and 53 for more information.

What is the add on code for CRT?

Add-on code 33225 can be performed when medically appropriate with the primary service/procedure codes listed below. Add-on codes may not be reported as a stand-alone and must be billed when performed in conjunction with the primary service or procedure. Add-on codes qualify for separate payment for physicians and are not subject to the Physician Multiple Payment Reduction Rule.

What is the 2018 billing and coding guide?

The 2018 Billing and Coding Guide is a useful tool for hospital and physician billers and coders. The guide includes practical coverage and coding reference materials for Boston Scientific products and procedures.

Where is the S-ICD implanted?

Specifically, the S-ICD System is implanted in the vicinity of the left 5th and 6th intercostal spaces at the mid-axillary line with an electrode capable of sensing or delivering defibrillation energy running to the xiphoid and then vertically along the lateral sternal margin.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act, Section 1833 (e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period..

Article Guidance

This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L33271 Biventricular Pacing/Cardiac Resynchronization Therapy. Please refer to the LCD for reasonable and necessary requirements. Coding Guidelines

ICD-10-CM Codes that Support Medical Necessity

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim (s) submitted. The following ICD-10-CM codes support medical necessity and provide limited coverage for CPT codes: 33224 and 33225

ICD-10-CM Codes that DO NOT Support Medical Necessity

All those not listed under the “ICD-10 Codes that Support Medical Necessity” section of this article.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.