CPT Code 93298: Interrogation Device Evaluations

Learn more about how to properly use CPT code 93298 through our guide, which has billing guidelines, documentation requirements, FAQs, etc.

Use Code

What is CPT code 93298?

CPT code 93298 refers to the "interrogation device evaluation(s), (remote) up to 30 days, subcutaneous cardiac rhythm monitor system, including the analysis of recorded heart rhythm data, its analysis, its review, and report(s) by a qualified healthcare professional".

It covers the remote interrogation of an implantable cardiac device such as a pacemaker or defibrillator with interpretation and report by a physician or qualified health care professional. Furthermore, it also reflects the analysis of programmed parameters, device function, battery status, etc.

Do note that as of January 1, 2024, CPT code now encompasses both the professional and technical components when the service performed is by a single entity.

If the technical service, including but not limited to technical support, technician review, data acquisition, etc., is performed by other qualified health care professionals, it must be appended with a modifier.

CPT code 93298 documentation requirements

To demonstrate the medical necessity of CPT code 93298, the following key elements must be patient's medical records:

Health care provider order
Medical necessity
Device type and interrogation date
Parameters reviewed (e.g., sensing, pacing thresholds, arrhythmias)
Patient education regarding the use of the device and transmission of data by the internal and external sensors
Transmission details
Interpretation and summary report
Provider signature

CPT code 93298 billing guidelines

For appropriate reimbursement for CPT code 93298:

Only one remote interrogation is billed every 90 days per device.
Modifiers are appended if different physicians or entities conduct the technical acquisition of data and the professional interpretation
Use the appropriate place of service (POS) code
Verified which codes may or may not be bundled