Wiki Billing for the TC/26 for remote interrogation of pacemakers and defibrillators

[LaceyCanon]

Can anyone tell me if the Medicare rule for billing TC and 26 applies to remote interrogation codes 93294 & 93296. Should the TC 93296 be billed the date it was done and the interpretation and report 93294 be billed the date of interpretation, even if different date.

 

[AmandaBriggs]

If your clinic is performing the global service, then the service can be billed with one code using either the date the test was done or the date the test was interpreted. Our facility developed a policy around this to encourage consistent coding. Here is a link to the MLN Matters article that discusses this topic:
https://www.cms.gov/Outreach-and-Ed...-MLN/MLNMattersArticles/downloads/SE17023.pdf

 

[Carmen7414]

If your clinic is performing the global service, then the service can be billed with one code using either the date the test was done or the date the test was interpreted. Our facility developed a policy around this to encourage consistent coding. Here is a link to the MLN Matters article that discusses this topic:
https://www.cms.gov/Outreach-and-Ed...-MLN/MLNMattersArticles/downloads/SE17023.pdf

Hi Amanda, will you please let me know how you are working around this 93296 and the 93294? for instance, if the MD for 93294 dos the day he reviewed professional side - we will say 01/01/21 and if the tech side 93296 will bill 04/1/21 - then will they deny for frequency too soon or will they overlap and pay since one is professional and the other is tech code?