Aimee Ramadan
New
I am hoping other facilities can share how they are billing 93297-93298 after the deletion of G2066 in 2024. Split billing 26/TC modifiers, or global and with which DOS? The day provider signs (for professional component) and Technical portion (TC) on the last day of monitoring, or both charges billed as global on the last day of 90 day monitoring? We are questioning the minor discrepancies in the CMS and device manufacturer's billing/coding guidelines regarding which DOS can and should be used. Example: provider signs off on 01/26/2024, however the last day of the 90 day period is 01/31/2024. Are you using the date of provider signature, or end of the 90 day monitoring period as the DOS?
Minor differences in the wording from CMS and Medtronic:
CMS states “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” (link).
Medtronic states “When a remote transmission is received but not reviewed for a few days, what date of service should be reported? Per Medicare guidance, the date of service for the interpretation is the date the interpretation occurs or the end of the monitoring period, whichever is later. The technical component is billable at the end of the remote monitoring period” (link)
Minor differences in the wording from CMS and Medtronic:
CMS states “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” (link).
Medtronic states “When a remote transmission is received but not reviewed for a few days, what date of service should be reported? Per Medicare guidance, the date of service for the interpretation is the date the interpretation occurs or the end of the monitoring period, whichever is later. The technical component is billable at the end of the remote monitoring period” (link)