CPT 93724Cardiology

Elec alys antitchycar pm sys

CPT 93724 covers the electronic analysis and programming of an antitachycardia pacemaker system, which is a device that detects and treats abnormally fast heart rhythms. This involves testing the device's ability to sense irregular heartbeats and deliver electrical therapy to restore normal rhythm.

Showing rates for

National Average

Base Medicare rate

$268.80

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

4.88

PE RVU (NF)

3.26

MP RVU

0.17

Total RVU

8.31

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

NCCI bundling edits

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Billing tips

Verify device type before billing - antitachycardia pacemakers (93724) are distinct from standard pacemakers (93279-93281) and ICDs (93289-93295); billing wrong code can result in underpayment or overpayment
Impact: Prevents $50-150 payment variance; ICDs reimburse differently and misclassification triggers audits
Document all components: device interrogation with stored data review, battery voltage assessment, lead impedance testing, sensing/pacing threshold evaluation, and specific programming changes made to antitachycardia parameters
Impact: Complete documentation prevents 30-40% of denials and supports full $268.80 reimbursement during audits
Bill only once per 90-day period for routine checks; Medicare limits frequency unless medical necessity is documented for additional interrogations (arrhythmia episodes, medication changes, symptoms)
Impact: Prevents denials averaging $268.80 per inappropriate claim; medical necessity documentation can support additional interrogations
Do not bill 93724 with remote monitoring codes (93294-93296) for the same 90-day period unless distinct face-to-face interrogation with programming is performed
Impact: Avoids bundling denials and potential recoupment of $268.80-500+ in duplicate payments
Ensure physician personally reviews stored diagnostics and signs report same day; delayed signatures or technician-only reviews do not meet Medicare requirements
Impact: Prevents medical review denials and validates 4.88 work RVUs; timely documentation supports proper payment
Use facility vs non-facility rates appropriately: 93724 has identical rates ($268.80) but verify place of service code matches actual location (11 for office, 22 for outpatient hospital)

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Frequently asked questions

What is the difference between CPT 93724 and standard pacemaker interrogation codes?

CPT 93724 is specifically for antitachycardia pacemakers that can detect and treat rapid heart rhythms with programmed pacing sequences. Standard pacemaker interrogation uses codes 93279-93281. Antitachycardia devices have specialized programming for tachyarrhythmia termination, while standard pacemakers only provide bradycardia support.

How much does Medicare pay for CPT 93724 in 2025?

Medicare pays $268.80 for CPT 93724 in 2025 under both facility and non-facility settings (national average). The code has 8.31 total RVUs (4.88 work RVU, 3.26 practice expense RVU, 0.17 malpractice RVU) multiplied by the 2025 conversion factor of 32.3465.

How often can CPT 93724 be billed for the same patient?

Medicare typically allows CPT 93724 once per 90-day period for routine follow-up. More frequent billing requires documentation of medical necessity such as new arrhythmia symptoms, device alerts, medication changes affecting heart rhythm, or documented tachycardia episodes requiring programming adjustments.

Can CPT 93724 be billed with an office visit on the same day?

Yes, CPT 93724 can be billed with an E/M service on the same day if the services are separate and distinct, using modifier 25 on the E/M code. Documentation must clearly show the device interrogation was performed for different reasons than the office visit or involved significant separate evaluation beyond the E/M service.

What documentation is required to bill CPT 93724?

Required documentation includes device identification, complete interrogation report with battery status, lead parameters, sensing/pacing thresholds, stored diagnostic data review, antitachycardia programming settings, any changes made with clinical rationale, physician interpretation, and signature. All elements must be documented to support the comprehensive nature of the service.

Is CPT 93724 used for ICD interrogations?

No, CPT 93724 is not for ICDs (implantable cardioverter-defibrillators). ICDs use separate codes 93289-93295 for interrogation and programming. While both devices treat tachycardia, ICDs deliver shock therapy while antitachycardia pacemakers use only pacing algorithms. Proper device classification is critical for correct coding.

Can CPT 93724 be billed for remote monitoring interrogations?

No, CPT 93724 is only for in-person device interrogation with direct patient-physician encounter. Remote monitoring uses separate codes 93294-93296. These services cannot be billed together for the same 90-day period unless distinct face-to-face interrogation with programming is performed separately from remote transmissions.