Pacemaker, ICD, and ICM Evaluations - Biotronik

1 Effective January 1, 2016 pacemaker , ICD, and ICM Evaluations2016 Reimbursement OverviewCardiac Rhythm Management // Device Monitoring ReimbursementPACEMAKER DEVICE MONITORINGC ommon CPT Codes and National Average Medicare PaymentAny # of LeadsSingle LeadDual LeadMultiple Lead932799328093281932889329493296932939 3286(In-Person) Programming evaluation (In-Person) Interrogation EvaluationTranstelephonicRhythm Strip EvaluationRemote Interrogation EvaluationAny # of LeadsAny # of LeadsAny # of LeadsIn-PersonRemoteIn-PersonTechnicalPr ofessional(In-Person) Peri Procedural evaluation - 2 -CPT CodeCPT Code Definition2016 MedicareWork RVUs1 Avg.

2 (In-Person) Interrogation Evaluation93288 Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; single, dual, or multiple lead pacemaker $ (Professional Service Only)$ (In-Person) Programming Evaluation93279 Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional.

3 Single lead pacemaker $ (Professional Service Only)$ device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; dual lead pacemaker $ (Professional Service Only)$ device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; multiple lead pacemaker $ (Professional Service Only)$ Interrogation evaluation Per 90 Days 93294 Interrogation device evaluation (s) (remote), up to 90 days.

4 Single, dual, or multiple lead pacemaker system with interim analysis, review(s) and report(s) by a physician or other qualified health care $ device evaluation (s), (remote), up to 90 days; single, dual, or multiple lead pacemaker system or implantable cardioverter-defibrillator system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of $ Rhythm Strip evaluation Per 90 Days93293 Transtelephonic rhythm strip pacemaker evaluation (s) single, dual or multiple lead pacemaker system, includes recording with and without magnet application with analysis, review and report(s)

5 By a physician or other qualified health care professional, up to 90 $ (Professional Service Only)$ (In-Person) Peri-Procedural Interrogation93286 Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual or multiple lead pacemaker $ (Professional Service Only)$ RVU=Relative Value Unit 2 Based on 2016 Medicare Conversion Factor of codes and descriptors are copyright 2016 American Medical Association - All rights reserved.

6 Applicable FARS/DFARS 3 -ICD* DEVICE MONITORINGC ommon CPT Codes and National Average Medicare Payments93282932839328493289932959329693 287 Remote Interrogation EvaluationAny # of LeadsAny # of Leads(In-Person) Peri Procedural EvaluationIn-PersonRemoteTechnicalProfes sional93287 Any # of LeadsSingle LeadDual LeadMultiple Lead(In-Person) Programming evaluation (In-Person) Interrogation EvaluationIn-Person*Implantable Cardioverter-Defibrillator- 4 -CPT CodeCPT Code Definition2016 MedicareWork RVUs1 Avg. (In-Person) Interrogation evaluation 93289 Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter.

7 Single, dual, or multiple lead implantable cardioverter-defibrillator system, including analysis of heart rhythm derived data $ (Professional Service Only)$ (In-Person) Programming Evaluation93282 Programming device evaluation (in-person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; single lead implantable cardioverter-defibrillator $ (Professional Service Only)$ device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional.

8 Dual lead implantable cardioverter-defibrillator $ (Professional Service Only)$ device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; multiple lead implantable cardioverter-defibrillator $ (Professional Service Only)$ Interrogation evaluation Per 90 Days 93295 Interrogation device evaluation (s) (remote), up to 90 days; single, dual, or multiple lead implantable cardioverter-defibrillator system with interim analysis, and review(s) and report(s) by a physician or other qualified health care $ device evaluation (s), (remote), up to 90 days.

9 Single, dual, or multiple lead pacemaker system or implantable cardioverter-defibrillator system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of $ (In-Person)Peri-Procedural Interrogation93287 Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual or multiple lead implantable cardioverter-defibrillator $ (Professional Service Only)$ RVU=Relative Value Unit 2 Based on 2016 Medicare Conversion Factor of codes and descriptors are copyright 2016 American Medical Association - All rights reserved.

10 Applicable FARS/DFARS 5 -Page 6 ICM* DEVICE MONITORINGC ommon CPT Codes and National Average Medicare PaymentsIn-PersonRemoteInterrogation9329 793299 CPT CodeCPT Code Definition2016 MedicareWork RVUs1 Avg. (In-Person) Interrogation evaluation 93290 Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; implantable cardiovascular monitor system, including analysis of 1 or more recorded physiologic cardiovascular data elements from all internal and external sensors $ (Professional Service Only)$ Interrogation evaluation Per 30 Days93297 Interrogation device evaluation (s), (remote) up to 30 days.