AMBP Monitoring

[anush9396]

What is the correct service date on the claim for AMBP monitoring billed with CPT code 93784 - is it the start date, end date or date of the report and interpretation by the provider? Your help will be greatly appreciated.

 

[AmandaBriggs]

Here is guidance from MLN Matters SE17023 from CMS:

Cardiovascular Monitoring Services

There are many different procedure codes that represent the cardiovascular monitoring services. These can be identified as professional components, technical components, or a combination of the two. Some of these monitoring services may take place at a single point in time, others may take place over 24 or 48 hours, or over a 30-day period. The determination of the date of service is based on the description of the procedure code and the time listed. When the service includes a physician review and/or interpretation and report, the date of service is the date the physician completes that activity. If the service is a technical service, the date of service is the date the monitoring concludes based on the description of the service. For example, if the description of the procedure code includes 30 days of monitoring and a physician interpretation and report, then the date of service will be no earlier than the 30th day of monitoring and will be the date the physician completed the professional component of the service.

For more information, see the Medicare National Coverage Determination Manual, Chapter 1, Section 20.8.1.1, at https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/ncd103c1_part1.pdf.
https://www.cms.gov/Outreach-and-Ed...-MLN/MLNMattersArticles/downloads/SE17023.pdf

Hope this helps!

 

[anush9396]

Thank you Amanda, I greatly appreciate your help!