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The CPT® Code 93293 refers to the process of conducting a transtelephonic rhythm strip evaluation for pacemaker systems, which can be single, dual, or multiple lead configurations. This evaluation is a remote monitoring procedure that allows healthcare professionals to assess the functionality of a pacemaker over a period of up to 90 days. The evaluation includes the recording of heart rhythms both with and without the application of a magnet, which is a critical component in determining the pacemaker's response to external stimuli. The initial recording lasts for 30 seconds and is crucial for assessing the pacemaker's ability to sense and capture the heart rate, as well as identifying any arrhythmias that may be present. Following the initial recording, a second rhythm strip may be taken with a magnet placed over the pacemaker. This step is essential for evaluating the pacemaker's response to the magnet, which can alter the pacing rate and provide additional insights into the device's performance. The data collected from these recordings are then analyzed by a qualified healthcare professional, who reviews the findings and prepares a report. This report includes an assessment of the patient's symptoms, a review of the pacemaker's leads and battery function, and documentation of any arrhythmia events, both normal and abnormal. The comprehensive nature of this evaluation ensures that any issues with the pacemaker can be identified and addressed promptly, thereby enhancing patient care and device management.
© Copyright 2025 Coding Ahead. All rights reserved.
The transtelephonic rhythm strip pacemaker evaluation (CPT® Code 93293) is indicated for patients who have a pacemaker system in place and require monitoring of its functionality. The specific indications for this procedure include:
The procedure for conducting a transtelephonic rhythm strip pacemaker evaluation involves several key steps, which are detailed as follows:
After the transtelephonic rhythm strip pacemaker evaluation is completed, the patient may be advised on any necessary follow-up appointments or interventions based on the findings of the evaluation. The physician will communicate the results of the evaluation, including any identified issues with the pacemaker or the patient's heart rhythm. Continuous monitoring may be recommended, and adjustments to the pacemaker settings could be made if abnormalities are detected. The technician ensures that all documentation is complete and accurate, contributing to the ongoing management of the patient's cardiac health.
| Short Descr | PM PHONE R-STRIP DEVICE EVAL | Medium Descr | TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL | Long Descr | Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes recording with and without magnet application with analysis, review and report(s) by a physician or other qualified health care professional, up to 90 days | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | Berenson-Eggers TOS (BETOS) | T2D - Other tests - other | MUE | 1 | CCS Clinical Classification | 203 - Electrographic cardiac monitoring |
| TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | GW | Service not related to the hospice patient's terminal condition | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | CR | Catastrophe/disaster related | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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