Dev interrog remote 1/2/mlt
CPT code 93295 covers remote interrogation (checking and downloading data) of implanted cardiac devices like pacemakers or defibrillators between scheduled office visits. The physician reviews device data transmitted electronically without the patient physically present.
This calculator gives a typical-case estimate using standard Medicare modifier rules. Actual payment depends on payer policies, documentation, code-specific CMS status indicators, and locality. Verify before billing.
RVU breakdown
Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High
NCCI bundling edits
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Billing tips
Observe the 30-day frequency limitation - CPT 93295 can only be billed once per 30-day period per device, starting from the date of the previous interrogation
Impact: Prevents automatic denials and recoupments; violating frequency rules can result in 100% claim denial and potential audit flags
Ensure a complete physician report is documented for each transmission, including device parameters, battery status, lead impedance, and clinical interpretation with recommended actions
Impact: Missing documentation elements are the #1 cause of denials; complete reports ensure the full $34.61 reimbursement and reduce audit risk
Bill 93295 separately from in-person device interrogations (93289, 93290, 93291, etc.) - do not bill both on the same date of service
Impact: Billing both will result in bundling denial with 100% rejection of the remote interrogation code
Verify patient enrollment in the remote monitoring program with documented consent and transmission schedule in the medical record
Impact: Lack of enrollment documentation can lead to medical necessity denials affecting entire claim series; proper setup prevents recurring denials
Use the correct code for device type - 93295 is for pacemakers with 1-3 leads only; ICDs require different codes (93296 for single/dual, 93297 for multiple leads)
Impact: Incorrect code selection results in denial or downcoding; using 93296 instead yields $41.90 vs $34.61 for appropriate ICD devices
Document the date of transmission receipt, not the review date, as the date of service if they differ by more than 24 hours
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