Summary & Overview
CPT 0928T: Remote Interrogation for Cardiac Contractility Modulation–Defibrillator
CPT code 0928T represents a remote interrogation device evaluation for an implantable cardiac contractility modulation–defibrillation system, covering an extended monitoring period of up to 90 days with interim analyses and one or more physician or qualified professional reports. This code captures an evolving area of cardiac device management that integrates remote monitoring technology with intermittent clinical review, and it matters nationally as payers and providers adapt to telemonitoring workflows and billing for longitudinal device services.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise national overview of the code’s clinical context and service model, a summary of common modifiers used with this service, and guidance on typical site-of-service expectations. The publication outlines what to expect in terms of service components and documentation tied to the 90-day monitoring interval.
The report is organized to help billing professionals, clinicians, and policy analysts understand where the code fits in the cardiac device care pathway, how remote interrogation services are framed for reimbursement, and what clinical documentation elements are central to claims. Data not available in the input will be clearly indicated in relevant sections.
Billing Code Overview
CPT code 0928T describes a remote interrogation device evaluation for an implantable cardiac contractility modulation–defibrillation system. The service covers a timespan of up to 90 days and includes interim analysis and one or more written reports provided by a physician or other qualified healthcare professional.
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Service type: Remote device interrogation and longitudinal device monitoring with clinical analysis
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Typical site of service: Remote/telemonitoring setting coordinated by a clinician, with associated documentation prepared in an outpatient or ambulatory care context
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 68-year-old patient with systolic heart failure and a prior implantable cardiac contractility modulation–defibrillation (CCM‑ICD) system undergoes remote device interrogation spanning up to 90 days. The patient is not physically present; device data are transmitted via the manufacturer’s home monitoring pathway to the clinic. A cardiology electrophysiology nurse or device clinic coordinator performs initial data review and forwards abnormal findings to a physician or other qualified healthcare professional. The provider performs interim analysis of transmitted telemetry, reviews device diagnostics (therapies delivered, lead integrity, battery status, CCM therapy delivery parameters), and documents one or more formal reports during the monitoring window. Typical workflow steps: patient enrollment in remote monitoring, scheduled and ad‑hoc transmissions, clinic technician triage, clinician review of flagged events, documentation of findings and recommendations in the electronic health record, and communication of clinically significant results to the patient and referring clinicians.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased Procedural Services | Use when the physician documents significantly greater effort or complexity in the analysis/reporting than typical for the remote interrogation service. |
51 |