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CPT 93293: Pacemaker Transtelephonic Evaluation

CPT code 93293 documents a transtelephonic evaluation of a pacemaker using rhythm strips transmitted by telephone. The provider reviews the transmitted data and confirms the function of each lead, battery, capture, and sensing, performing assessments once without a magnet and again with a magnet over the pacemaker. This brief, focused service supports remote device surveillance and clinical decision-making about timing for the next analysis or intervention. Nationally, remote device evaluations like 93293 matter for patient safety, continuity of care, and telehealth-enabled cardiac device management.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will learn the clinical context of transtelephonic pacemaker evaluation, the typical settings where 93293 is used, and what elements constitute the service. The publication provides benchmarks and policy context relevant to reimbursement and coding practice, describes typical service delivery workflows, and highlights documentation elements required to support a claim. Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.

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Billing Code Overview

CPT code 93293 describes evaluation of a pacemaker via transtelephonic monitoring. The provider reviews a rhythm strip transmitted by telephone to assess the pacemaker’s function, confirming lead integrity, battery status, capture, and sensing. The procedure includes assessment once without the magnet and once with the magnet placed over the pacemaker, and the review and reporting of single, dual, or multiple lead pacemaker systems.

Service type: Device evaluation and remote cardiac monitoring via transtelephonic rhythm strip
Typical site of service: Remote/telephonic monitoring; clinical interpretation performed by a qualified provider in an outpatient or remote setting

Data not available in the input for associated taxonomies, ICD-10 diagnoses, related codes, and service line.

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CPT 93293: Pacemaker Transtelephonic Evaluation

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Billing Code Overview

Service type: Device evaluation and remote cardiac monitoring via transtelephonic rhythm strip
Typical site of service: Remote/telephonic monitoring; clinical interpretation performed by a qualified provider in an outpatient or remote setting

Data not available in the input for associated taxonomies, ICD-10 diagnoses, related codes, and service line.

Clinical & Coding Specifications

Clinical Context

A 72-year-old patient with a dual-lead transvenous pacemaker calls the cardiac device clinic reporting occasional lightheadedness. The clinic nurse obtains a transtelephonic monitoring (TTM) rhythm strip transmitted from the patient’s home monitoring device. A cardiology electrophysiologist reviews the single TTM rhythm strip by telephone, evaluates battery status, lead impedance, capture, and sensing thresholds, and documents pacemaker function once without a magnet and then again with a magnet over the pacemaker to confirm magnet response. The provider determines device function is appropriate and documents the interval to next scheduled analysis and a brief report to the referring physician and patient. Typical workflow includes initial patient contact, transmission of the TTM strip, clinician review and interpretation by telephone, documentation of findings and recommendations, and notification to the patient and referring provider. Typical site of service is an outpatient cardiac device clinic or remote monitoring service performed via telephone/telemetry; the service is not performed in an operating room or inpatient procedural suite.

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when only the physician interpretation/report portion is billed separately from technical monitoring services.
`TC`	Technical component	Use when billing only the technical component (monitoring equipment/strip transmission) separately.
`52`	Reduced services	Use when the service provided is a reduced version of the full procedure.
`53`	Discontinued procedure	Use when the transtelephonic monitoring attempt was started but discontinued for patient safety reasons.
`76`	(Not in provided list)	Data not available in the input.
`62`	Two surgeons	Use when two physicians from different specialties are documented as performing portions of the service (rare for TTM).
`78`	Return to OR for related procedure following prior procedure	Use only if a subsequent related operative procedure occurs emergently (uncommon for TTM).
`80`	Assistant surgeon	Use when an assistant surgeon is documented as contributing to the procedure (rare for telephone monitoring).
`22`	Increased procedural services	Use when documentation supports substantially greater work than typical for the service.
`51`	Multiple procedures	Use when multiple distinct procedures are performed the same day and modifier 51 reporting rules apply.

Taxonomy Code	Specialty	Notes
207RP1000X	Cardiology	Electrophysiologists and general cardiologists commonly interpret pacemaker monitoring.
207T00000X	Cardiac Electrophysiology	Subspecialty focused on device management and transtelephonic interpretations.
208D00000X	Internal Medicine	General internists in device clinics may perform remote device follow-up.
2845C0003X	Nurse Practitioner - Cardiology	Advanced practice providers often manage remote monitoring workflows.
363L00000X	Telehealth Provider	Providers credentialed for telehealth services involved in remote device review.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I49.5`	Sick sinus syndrome	Common indication for pacemaker placement and routine device function checks by TTM.
`I44.1`	Atrioventricular block, second degree	Conduction disorder frequently managed with pacemaker therapy and monitored remotely.
`I44.2`	Atrioventricular block, complete	Complete heart block indication for pacemaker and frequent reason for device interrogation.
`I25.10`	Atherosclerotic heart disease of native coronary artery without angina pectoris	Patients with ischemic heart disease often have implanted devices monitored remotely.
`R00.2`	Palpitations	Symptom prompting transtelephonic rhythm strip transmission for pacemaker evaluation.
`Z45.01`	Encounter for adjustment and management of automatic implantable cardiac defibrillator	Related device management code used in device clinics when monitoring ICDs; clinically overlaps with pacemaker follow-up processes.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`93294`	Interrogation device evaluation (in-person) of pacemaker system with analysis and programming when performed	In-person comprehensive device interrogation often performed when remote TTM identifies issues requiring reprogramming or detailed evaluation.
`93288`	External pacemaker evaluation and reprogramming when performed	Performed when external reprogramming or threshold testing is required following abnormal remote monitoring findings.
`93279`	Remote monitoring of pacemaker system transmission of device data for analysis and report, per 30 days	Used for ongoing remote device monitoring services; may be billed in conjunction with discrete transtelephonic interpretations depending on payer rules.
`93000`	Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report	A standard in-clinic ECG that may be obtained after TTM review if rhythm or symptoms warrant surface ECG correlation.
`99371`	(Not applicable — Data not available in the input)	Data not available in the input.

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when only the physician interpretation/report portion is billed separately from technical monitoring services.
`TC`	Technical component	Use when billing only the technical component (monitoring equipment/strip transmission) separately.
`52`	Reduced services	Use when the service provided is a reduced version of the full procedure.
`53`	Discontinued procedure	Use when the transtelephonic monitoring attempt was started but discontinued for patient safety reasons.
`76`	(Not in provided list)	Data not available in the input.
`62`	Two surgeons	Use when two physicians from different specialties are documented as performing portions of the service (rare for TTM).
`78`	Return to OR for related procedure following prior procedure	Use only if a subsequent related operative procedure occurs emergently (uncommon for TTM).
`80`	Assistant surgeon	Use when an assistant surgeon is documented as contributing to the procedure (rare for telephone monitoring).
`22`	Increased procedural services	Use when documentation supports substantially greater work than typical for the service.
`51`	Multiple procedures	Use when multiple distinct procedures are performed the same day and modifier 51 reporting rules apply.

Taxonomy Code	Specialty	Notes
207RP1000X	Cardiology	Electrophysiologists and general cardiologists commonly interpret pacemaker monitoring.
207T00000X	Cardiac Electrophysiology	Subspecialty focused on device management and transtelephonic interpretations.
208D00000X	Internal Medicine	General internists in device clinics may perform remote device follow-up.
2845C0003X	Nurse Practitioner - Cardiology	Advanced practice providers often manage remote monitoring workflows.
363L00000X	Telehealth Provider	Providers credentialed for telehealth services involved in remote device review.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I49.5`	Sick sinus syndrome	Common indication for pacemaker placement and routine device function checks by TTM.
`I44.1`	Atrioventricular block, second degree	Conduction disorder frequently managed with pacemaker therapy and monitored remotely.
`I44.2`	Atrioventricular block, complete	Complete heart block indication for pacemaker and frequent reason for device interrogation.
`I25.10`	Atherosclerotic heart disease of native coronary artery without angina pectoris	Patients with ischemic heart disease often have implanted devices monitored remotely.
`R00.2`	Palpitations	Symptom prompting transtelephonic rhythm strip transmission for pacemaker evaluation.
`Z45.01`	Encounter for adjustment and management of automatic implantable cardiac defibrillator	Related device management code used in device clinics when monitoring ICDs; clinically overlaps with pacemaker follow-up processes.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`93294`	Interrogation device evaluation (in-person) of pacemaker system with analysis and programming when performed	In-person comprehensive device interrogation often performed when remote TTM identifies issues requiring reprogramming or detailed evaluation.
`93288`	External pacemaker evaluation and reprogramming when performed	Performed when external reprogramming or threshold testing is required following abnormal remote monitoring findings.
`93279`	Remote monitoring of pacemaker system transmission of device data for analysis and report, per 30 days	Used for ongoing remote device monitoring services; may be billed in conjunction with discrete transtelephonic interpretations depending on payer rules.
`93000`	Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report	A standard in-clinic ECG that may be obtained after TTM review if rhythm or symptoms warrant surface ECG correlation.
`99371`	(Not applicable — Data not available in the input)	Data not available in the input.

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

CPT 93293: Pacemaker Transtelephonic Evaluation

Sign up for cpt 93293 policy alerts

Billing Code Overview

CPT 93293: Pacemaker Transtelephonic Evaluation

Sign up for cpt 93293 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

What does CPT 93293 describe?

Where and how is the transtelephonic monitoring service typically performed?

Which modifiers are applicable when billing CPT 93293?

What related CPT codes should be considered alongside 93293?

Which diagnoses are commonly associated with CPT 93293 services?

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

What does CPT 93293 describe?

Where and how is the transtelephonic monitoring service typically performed?

Which modifiers are applicable when billing CPT 93293?

What related CPT codes should be considered alongside 93293?

Which diagnoses are commonly associated with CPT 93293 services?

References