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Device check billing on a calendar

Pacemaker check billing: in office and remote

Pacemaker check billing pays by device type and by how often you can bill it. An in-office check is coded by device and by whether settings were adjusted. A remote check is 1 claim per 90-day period, and we run that calendar for you.

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Pacemaker check billing: a cardiologist checking a patient's pacemaker with a programmer wand in his device clinic
93294 remote reviewRemote pacemakerPaid
Every device runs its own clock
01In office

In-office interrogation and programming

Interrogation is a device read with no settings changed. It is 93288 for a pacemaker, 93289 for an ICD and 93291 for a loop recorder.

Programming is when your physician adjusts settings to test them and select final values. Pacemakers are 93279 to 93281 by lead count, and ICDs are 93282 to 93284. Programming includes the interrogation, so you bill 1 or the other for that device.

A CRT-D is a multiple-lead ICD, 93284. Coded as a dual lead, it pays less. We take the lead count from the implant record and check the signed report.

Cardiology billing pricing
Coded from the implant record
CMS-1500 · Claim 10614CRT-D programming · POS 11
DOSPOSCPTModDx09/10/261193284A
Claim statusPaid
CRT-D billed as multiple lead
02Remote

Remote monitoring: the 30 and 90 day periods

Remote pacemaker review is 93294, and remote ICD review is 93295. Each covers up to 90 days and is billed once per period. The technical part, 93296, belongs to whoever runs the monitoring.

Loop recorders run on a shorter clock. 93298 covers up to 30 days, billed once per 30-day period. On Medicare claims, G2066 is the technical part.

We track both clocks per patient and per device, and hold each claim until its period closes.

Held until the period closes
Claims 10627, 10628Remote checks · pacemaker and loop recorder
Pacemaker · once per 90 daysClaim 10627

93294

Your remote review, up to 90 days

Claim statusPaid
Loop recorder · once per 30 daysClaim 10628

93298

Your remote review, up to 30 days

Claim statusPaid
Each period billed after it closes
03Denials

Loop recorders and remote denials

Loop recorder insertion is 33285, and removal is 33286. The implant diagnosis, such as syncope or cryptogenic stroke, carries to every remote claim.

5 things commonly deny your device claims:

  • EarlyA remote claim sent before its period closes.
  • OverlapAn office interrogation inside an open remote period.
  • BundlingAn interrogation billed with programming for 1 device.
  • Lead countA CRT-D coded as a dual lead ICD.
  • DiagnosisA remote claim without the implant diagnosis.

We check each one before a device claim goes out. When a denial still comes back, we appeal it with your note.

Denials and appeals
Worked, not parked
Claim 10641Remote loop recorder 93298 · POS 11
  1. DeniedMedical necessity
  2. AppealedWith the implant note showing syncope
  3. Paid93298, remote review
A necessity denial, worked to paid
04Codes

Device check CPT codes we bill

Each code pays only when your signed report supports it.

CodeWhat it covers
93288, 93289In-office interrogation, pacemaker and ICD
93279 to 93284In-office programming, pacemaker and ICD, by lead count
93294, 93295Remote review, pacemaker and ICD, once per 90 days
93296Remote technical support, once per 90 days
93297, 93298, G2066Remote physiologic monitor and loop recorder, once per 30 days
93285, 93291, 33285, 33286Loop recorder programming, interrogation, insertion, removal
05Get in touch

Send your last 90 days of device check claims

We show you, by payer, which remote checks went out early, which were denied, and why. Free, no strings.

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3% of collectionsNo setup feeNo contract

Free, no strings
Your 90-day device check reviewLast 90 days
  • Remote checks sent earlyIncluded
  • Office checks in a remote periodIncluded
  • Denied, and whyIncluded