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CMS-1403-FC
generally contractor priced them. We also recognize that
this service is one of short duration and high intensity.
The intra-service work per unit time (IWPUT) may not be of
the greatest accuracy in evaluating this service.
4. Cardiac Monitoring
The CPT Editorial Panel made significant revisions to
the cardiac device monitoring (CDM) codes, for which the
AMA RUC provided work and PE valuations. The CDM codes
describe services that generally fall into three
categories: interrogation of devices (retrieval and
evaluation of stored device data); programming of devices
(retrieval and evaluation of stored device data and
programming of the device); and remote monitoring of
devices (solely technical services for monitoring, basic
analysis and assemblage of device data).
We agree with the majority of the AMA RUC-recommended
valuations. However, we question the recommended values of
the increments between some codes within families and
across families of pacemakers, implantable cardioverter
defibrillators (ICDs), implantable loop recorders, and
implantable cardiovascular monitoring systems. CPT codes
93279 through 93281 (0.65 to 0.90 work RVUs, with a work
RVU difference between the codes of 0.12 to 0.13) describe
the programming of pacemakers according to the number of
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