CMS Changes Coding For Remote ICM/ILR Interrogation

The Centers for Medicare and Medicaid Services (CMS) has removed CPT code 93299 as of Jan. 1, in accordance with the final 2020 Medicare Physician Fee Schedule. CMS did not ultimately accept the adjustment recommendations by the American Medical Association to incorporate direct practice expense inputs to CPT codes 93297 and 93298 that reflect the clinical staff work associated with the services such that those codes could be billed globally for both professional and technical components, rendering 93299 unnecessary. Instead, CMS has implemented a HCPCS code – G2066 – to replace 93299 to use as the technical code to complement 93297 and 93298.

Practices providing implantable cardiac monitor (ICM) or implantable loop recorder (ILR) technical components should report G2066: "Interrogation device evaluations(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system or subcutaneous cardiac rhythm monitor system, remote data acquisitions(s), receipt or transmissions and technician review, technical support and distribution of results." Additional outreach to carriers recommending pricing based on deleted 93299 may be necessary if they have not yet adopted G2066.

93299
(ended Dec 31, 2019)
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular monitor system or implantable loop recorder system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results
G2066
(added Jan 1, 2020)
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results

Please notify dmariani@acc.org if you encounter challenges with G2066 so the College can learn of any difficulties.

Keywords: ACC Advocacy, Healthcare Common Procedure Coding System, Current Procedural Terminology, Centers for Medicare and Medicaid Services (U.S.), Medicare, Medicaid, Fee Schedules


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