Medtronic
 
 

Insertable
Cardiac Monitor

Reveal® Procedures Coding

Hospital Outpatient | Hospital Inpatient | Physician Coding

Hospital Medicare Outpatient

Possible Ambulatory Payment Classification (APC) Assignments

APC
Grouping		 APC Description CPT1
Codes		 CPT Code Description
0020 Level II Excision/ Biopsy 33284 Removal of an implantable, patient-activated cardiac event recorder
0209 Level II Extended EEG, Sleep, and Cardiovascular Studies 93299 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular monitor system or implantable loop recorder system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results
0680 Insertion of Patient Activated Event Recorders 33282 Implantation of patient-activated cardiac event
recorder
0690 Level I Electronic Analysis of Devices 93285 and 93291 Programming device evaluation with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with physician analysis, review and report; implantable loop recorder system

Interrogation device evaluation (in person) with physician analysis, review and report, includes connection, recording and disconnection per patient encounter; implantable loop recorder system, including heart rhythm derived data analysis

1CPT copyright 2008 American Medical Association. All rights reserved.

Hospital Inpatient:

ICD-9 CM Procedure Code Options

Insertion
37.79 Revision or relocation of cardiac device pocket
Removal
86.05 Incision with removal of foreign body or device from skin and subcutaneous tissue

Possible Medicare Severity (MS) Diagnosis Related Group (DRG) Assignments

MS-DRG MS-DRG Description
Insertion MS-DRGs
260 Cardiac pacemaker revision except device replacement with MCC (major complication or comorbidity)
261 Cardiac pacemaker revision except device replacement with CC (complication or comorbidity)
262 Cardiac pacemaker revision except device replacement without CC/MCC
Removal MS-DRG
316 Other circulatory system diagnoses without CC/MCC

Physician Coding:
Insertion CPT Code Description
33282 Implantation of patient-activated cardiac event recorder
Removal
33284 Removal of an implantable, patient-activated cardiac event recorder
Device Evaluation
93285 Programming device evaluation with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with physician analysis, review and report; implantable loop recorder system
93291 Interrogation device evaluation (in person) with physician analysis, review and report, includes connection, recording and disconnection per patient encounter; implantable loop recorder system, including heart rhythm derived data analysis
93298 Interrogation device evaluation(s), (remote) up to 30 days; implantable loop recorder system, including analysis of recorded heart rhythm data, physician analysis, review(s) and report(s)
93299 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular monitor system or implantable loop recorder system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results
Device (if implanted in the physician's office)
E0616 Implantable cardiac event recorder with memory, activator, and programmer

Additional Information