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CMS-1403-FC code 93289 should be 0.78 (0.43 (the work value of CPT code 93288) plus 0.35 (the largest difference between pacemaker and ICD programming codes families)). Appropriate comparisons are CPT codes 99231 (Subsequent hospital care) which has a work RVU of 0.76, and CPT code 93015 (Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with physician supervision, with interpretation and report) which has a work RVU of 0.75. Therefore, we believe a work RVU of 0.78 is appropriate for CPT code 93289. The AMA RUC-recommended work RVUs of 0.65 for CPT code 93294, Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system with interim physician analysis, review(s) and report(s), was determined by multiplying 1.5 (the average number of transmissions per 90 days) times the work RVU for CPT code 93288 (0.43). The AMA RUC-recommended work RVUs of 1.38 for CPT code 93295, Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system with interim physician analysis, review(s) and report(s), was determined by multiplying 1.5 (the average number of transmissions per 90 days) times the work 918
CMS-1403-FC RVU for CPT code 93289 (0.92). Because we are adjusting the work value for CPT code 93289 to 0.78, using the RUC-recommended methodology, the adjusted work value for CPT code 93295 is 1.17. We note that certain CDM codes were not reviewed by the RUC. For example, CPT codes 93230, Wearable electrocardiographic rhythm derived monitoring for 24 hours by continuous original waveform recording and storage without superimposition scanning utilizing a device capable of producing a full miniaturized printout; includes recording, microprocessor-based analysis with report, physician review and interpretation, and 93233, Wearable electrocardiographic rhythm derived monitoring for 24 hours by continuous original waveform recording and storage without superimposition scanning utilizing a device capable of producing a full miniaturized printout; physician review and interpretation, currently have work RVUs of 0.52 each. Some of the newly valued CDM codes that provide payment for 30 days of work (for example, CPT codes 93268, Wearable patient activated electrocardiographic rhythm derived event recording with presymptom memory loop, 24- hour attended monitoring, per 30 day period of time; includes transmission, physician review and interpretation, and 93272, Wearable patient activated electrocardiographic 919
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<strong>CMS</strong>-1403-FC<br />
RVU for CPT code 93289 (0.92). Because we are adjusting<br />
the work value for CPT code 93289 to 0.78, using the<br />
RUC-recommended methodology, the adjusted work value for<br />
CPT code 93295 is 1.17.<br />
We note that certain CDM codes were not reviewed by<br />
the RUC. For example, CPT codes 93230, Wearable<br />
electrocardiographic rhythm derived monitoring for 24 hours<br />
by continuous original waveform recording and storage<br />
without superimposition scanning utilizing a device capable<br />
of producing a full miniaturized printout; includes<br />
recording, microprocessor-based analysis with report,<br />
physician review and interpretation, and 93233, Wearable<br />
electrocardiographic rhythm derived monitoring for 24 hours<br />
by continuous original waveform recording and storage<br />
without superimposition scanning utilizing a device capable<br />
of producing a full miniaturized printout; physician<br />
review and interpretation, currently have work RVUs of 0.52<br />
each. Some of the newly valued CDM codes that provide<br />
payment for 30 days of work (for example, CPT codes 93268,<br />
Wearable patient activated electrocardiographic rhythm<br />
derived event recording with presymptom memory loop, 24-<br />
hour attended monitoring, per 30 day period of time;<br />
includes transmission, physician review and interpretation,<br />
and 93272, Wearable patient activated electrocardiographic<br />
919