CPT Code 93296, which represents the work required to conduct 90-day remote evaluations of pacemakers and ICDs, is significantly undervalued. Despite a detailed, data-driven proposal submitted to CMS asserting that the code needs to be revalued—CMS still has questions, and they want the answers from the people who know best: people like you!
Your voice matters—and your action is critical.
The only way to ensure your perspective is counted is to let CMS know during the open comment period, which is now.
What You Need to Know:
CPT code 93296 is currently reimbursed at ~$19.41—based on outdated assumptions. Our coalition prepared a Practice Expense Report that shows CPT code 93296 underappreciates:
➡️ The TIME required to conduct comprehensive remote evaluations every 90 days, which is more than 28 minutes.
The 2023 HRS 2023 guidelines describe 32 distinct tasks required to conduct quarterly pacemaker and ICD evaluations.
➡️ That TECHNOLOGY used in remote monitoring requires an integrated hardware and software system—the same platform is used for loop recorder checks. This goes beyond the basic transmitter setup on which the current rate was based.
➡️ That a higher-level TECHNICIAN is required to adequately provide these services (eg, an electrodiagnostic technologist rather than a cardiovascular technician).
➡️ File Your Comment
Use the link below to file your personalized comment today. To ensure your voice is heard, be sure not to cut and paste. Include the following points to describe the time, technology, and technician costs to deliver care:
✅ I spend more time than 28 minutes conducting the steps defined in the 2023 HRS Consensus Statement for CPT Code 93296.
✅ Share how much time it takes you to deliver guideline-directed remote monitoring.
✅ I use the same technology to check pacemakers and defibrillators as I do loop recorders. Both procedures require software and hardware.
✅ I do this work, and I know that it requires at least the expertise of a cardiovascular technician.
Comment Letter Example:
na2.hubs.ly/y0FDWH0
Use the button below to go directly to the CMS comment collection page for this ruling. Once there, enter your personalized message in the “Start typing comment here” field and submit your comment.
➡️ Submit Your Comment to CMS
na2.hubs.ly/y0FFtY0
By raising your voice, you’re helping to protect access to life-saving cardiac care for the patients who need it most.