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<strong>CMS</strong>-1403-FC<br />

rhythm derived event recording with presymptom memory loop,<br />

24-hour attended monitoring, per 30 day period of time;<br />

physician review and interpretation, also have work RVUs of<br />

0.52. We urge the AMA RUC to assess the work valuation of<br />

CPT codes 93230 and 93233 in the future in light of the<br />

valuation of the other new similar codes.<br />

The adjusted work RVUs are as follows: 1.05 work RVUs<br />

for CPT code 93283; 0.78 work RVUs for CPT code 93289; and<br />

1.17 work RVUs for CPT code 93295.<br />

5. Mobile Cardiovascular Telemetry and Implantable Loop<br />

Monitoring<br />

The CPT Editorial Panel created two new codes 93228<br />

and 93229 for mobile cardiovascular telemetry and a new<br />

code 93299 related to implantable cardiovascular monitoring<br />

systems or implantable loop recorder systems. The AMA RUC<br />

recommended 0.52 work RVUs for CPT code 93228 and only<br />

direct cost inputs for CPT code 93229 and 93299. These<br />

services were previously billed using unlisted codes, which<br />

were contractor priced. CPT code 93228 represents the<br />

professional aspect of the mobile cardiovascular telemetry<br />

service and CPT code 93229 represents the technical aspect.<br />

We have accepted the AMA RUC recommended work RVUs for CPT<br />

code 93228. However, we will continue to contractor price<br />

CPT codes 93229 and 93299 in order to provide additional<br />

920

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