Allied Professionals Community of Practice

Good afternoon,

I realize this may seem a silly question for some.  We have had some rare instances where ICMs were not removed when the PM/ICD was implanted.  I have been asked by a colleague from another clinic if it is acceptable to bill for monitoring for both devices.  I would think the answer would be no and we have not been billing for both in our clinic.  Has anyone else encountered this and if so, are you billing for both devices?

Thank you,

Hi Michael,

The following is from the 2022 CPT Professional Code Book (published by the AMA):

"ECG rhythm derived elements are distinct from physiologic data, even when the same device is capable of producing both. Implantable cardiovascular physiologic monitor services are always separately reported from implantable defibrillator services. When cardiac rhythm data are derived from an implantable defibrillator or pacemaker, do not report subcutaneous cardiac rhythm monitor services with pacemaker or implantable defibrillator services."  (page 756).

We do not bill for both.  Hope this helps!

Maryellen

Good afternoon,

I realize this may seem a silly question for some.  We have had some rare instances where ICMs were not removed when the PM/ICD was implanted.  I have been asked by a colleague from another clinic if it is acceptable to bill for monitoring for both devices.  I would think the answer would be no and we have not been billing for both in our clinic.  Has anyone else encountered this and if so, are you billing for both devices?

Thank you,

This is really good to know!  Thank you Maryellen!

Hi Michael,

The following is from the 2022 CPT Professional Code Book (published by the AMA):

"ECG rhythm derived elements are distinct from physiologic data, even when the same device is capable of producing both. Implantable cardiovascular physiologic monitor services are always separately reported from implantable defibrillator services. When cardiac rhythm data are derived from an implantable defibrillator or pacemaker, do not report subcutaneous cardiac rhythm monitor services with pacemaker or implantable defibrillator services."  (page 756).

We do not bill for both.  Hope this helps!

Maryellen

Good afternoon,

I realize this may seem a silly question for some.  We have had some rare instances where ICMs were not removed when the PM/ICD was implanted.  I have been asked by a colleague from another clinic if it is acceptable to bill for monitoring for both devices.  I would think the answer would be no and we have not been billing for both in our clinic.  Has anyone else encountered this and if so, are you billing for both devices?

Thank you,