Results 1 to 3 of 3

Pacemaker/AICD interrogations

  1. Default Pacemaker/AICD interrogations
    Medical Coding Books
    Does anyone have information (sources) on pacemaker/AICD interrogations done in an in-office setting, but performed by a pacemaker representative rather than a clinic provider? Looking for CMS documentation on billing (our physician does the interpretations). Thx

  2. #2
    Default
    According to CPT 2012 Codes 93279 -93292 is in regards to physician analysis, not to who actually performed the programming and/or adustment.

  3. Default
    Quote Originally Posted by Mountain Heart View Post
    Does anyone have information (sources) on pacemaker/AICD interrogations done in an in-office setting, but performed by a pacemaker representative rather than a clinic provider? Looking for CMS documentation on billing (our physician does the interpretations). Thx
    Here is the CMS link:
    https://www.cms.gov/transmittals/downloads/R1931CP.pdf

    When the pacemaker representative performs the technical portion of the evaluation you cannot bill for those services unless the criteria for antimarkup payment is met. I would read the entire thing but specifically 10.1.12 and 30.3.7. If this is not met then a 26 modifier should be added only if the provider completed the professional portion of the service.

Similar Threads

  1. Device interrogations
    By denisek1028 in forum Cardiology
    Replies: 1
    Last Post: 09-01-2015, 10:47 AM
  2. Pacemaker & AICD V Codes
    By lmb512 in forum Cardiology
    Replies: 1
    Last Post: 03-12-2015, 09:29 AM
  3. Device interrogations
    By denisek1028 in forum Cardiology
    Replies: 0
    Last Post: 01-07-2015, 09:40 AM
  4. AICD to Pacemaker
    By cvmartin in forum Cardiology
    Replies: 5
    Last Post: 11-05-2014, 11:05 AM
  5. Upgrade of pacemaker to AICD Bi-Vent
    By gprudhoe in forum Cardiology
    Replies: 2
    Last Post: 06-08-2012, 05:01 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.