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CPT 93290: Evaluation and Reprogramming of Implanted Cardiac Monitor
CPT code 93290 documents a face-to-face evaluation and optimal adjustment of an already implanted cardiovascular physiologic monitoring system, combined with result review and a written report. This bundled code includes both professional and technical components when performed by a physician or other qualified health care professional. Nationally, procedures to interrogate and reprogram implanted cardiac monitoring and therapy devices are an important element of longitudinal cardiac care, affecting device-dependent management pathways and resource use.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The guidance and benchmarks address payer coverage patterns, coding considerations, and typical sites of service for device clinics and outpatient cardiology settings.
Readers will learn what CPT code 93290 represents clinically, where the service is commonly delivered, and which major payers are relevant for coverage considerations. The publication summarizes available benchmarks, highlights policy and coding updates when present, and provides clinical context for use of the code in follow-up care of patients with implanted cardiovascular monitoring systems. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 93290 describes a face–to–face evaluation with optimization of an already implanted cardiovascular physiologic monitoring system, including review of device results and preparation of a report. The code represents both the professional and technical components of the service when performed by a physician or other qualified health care professional.
Service type: Device interrogation, evaluation, and parameter reprogramming of implanted cardiovascular monitoring systems.
Typical site of service: Outpatient clinic, hospital outpatient department, or device clinic where the patient can be evaluated in person and device programming performed.