CPT 93298Cardiology

Rem interrog dev eval scrms

CPT code 93298 covers the remote monitoring and analysis of implanted cardiac screening devices, where a healthcare provider reviews data transmitted electronically from a patient's device without an in-person visit.

Showing rates for

National Average

Base Medicare rate

$97.69

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

Work RVU

0.52

PE RVU (NF)

2.46

MP RVU

0.04

Total RVU

3.02

Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High

NCCI bundling edits

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Billing tips

Bill 93298 only once per 30-day monitoring period regardless of number of transmissions received during that period
Impact: Prevents denials for duplicate billing; captures full $97.69 allowable when billed correctly
Ensure minimum 10-day interval has elapsed since device insertion (93285) or previous interrogation before billing remote monitoring
Impact: Prevents bundling denials and ensures proper sequencing of device management codes
Document the date of transmission receipt, data reviewed, clinically relevant findings, and any management changes in response to findings
Impact: Reduces audit risk and supports medical necessity; lack of documentation is the #1 cause of recoupment
Distinguish 93298 (screening devices/ILRs) from 93294 (pacemaker monitoring) and 93296 (ICD monitoring) based on device type
Impact: Using incorrect code family can result in payment differences of $50-150 and trigger audits
Verify patient enrollment in remote monitoring program and obtain signed consent for remote transmissions
Impact: Required for compliance; missing consent can lead to denial of all claims and potential audit findings
Bill global code 93298 when practice owns equipment and provides both technical and professional components
Impact: Captures full $97.69 Medicare allowable versus split payment when using 26/TC modifiers

Common denials

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Frequently asked questions

What is CPT code 93298 used for?

CPT 93298 is used for remote interrogation and evaluation of implantable cardiac screening devices such as insertable loop recorders (ILRs) and cardiac monitors. The code covers attended physician analysis of remotely transmitted device data including arrhythmia detection and device function assessment.

How much does Medicare pay for CPT 93298 in 2025?

The 2025 Medicare national average payment for CPT 93298 is $97.69 for both facility and non-facility settings. This rate is based on 3.02 total RVUs multiplied by the 2025 conversion factor of 32.3465.

How often can CPT 93298 be billed?

CPT 93298 can be billed once per 30-day monitoring period. Only one remote interrogation service is reimbursable within any 30-day period regardless of how many transmissions are received during that time.

What is the difference between CPT 93298 and 93294?

CPT 93298 is used for remote monitoring of implantable cardiac screening devices (loop recorders/monitors), while 93294 is used for remote monitoring of pacemakers with single, dual, or multiple leads. The key difference is the device type being monitored.

Can CPT 93298 be billed with an office visit on the same day?

Yes, CPT 93298 can be billed with an office visit (E/M code) on the same day if the services are distinct and separately identifiable, though this is uncommon since 93298 represents remote data review. Documentation must clearly support both services as separate encounters.

What documentation is required for CPT 93298 reimbursement?

Required documentation includes transmission date, device type, data review findings, arrhythmia analysis, device function assessment, physician interpretation, and any clinical actions taken. The report must be signed and dated by the interpreting physician to demonstrate attended analysis occurred.

What are the RVUs for CPT code 93298 in 2025?

CPT 93298 has 0.52 work RVUs, 2.46 practice expense RVUs (both facility and non-facility), 0.04 malpractice RVUs, totaling 3.02 RVUs. These values are from the CMS 2025 Medicare Physician Fee Schedule released December 23, 2024.