Friday, September 17, 2010

93270 calls for Minimum Transmission

You can report 93270 even when the only transmission was the test transmission.

CPT coding lookup, CPT Assistant, CPT coding

Sometimes, you may find yourself bowled over by questions such as this:

Question: Can you report 93270 even when the only transmission was the test transmission?

Answer: You should be able to report 93270 in the situation you describe, assuming you meet certain conditions.

According to CPT Assistant (August 2010), prior to reporting 93270, you should check for the following:





  • The patient got the monitor from the office or facility or through mail, such as from a monitoring center.
  • The doctor or facility coached the patient on proper monitor use ( inclduing hookup, recording and transmission).
  • The patient sent a minimum of one transmission. Reason: Patients must send a test transmission when the monitoring period starts to be sure the device is working.
    Here's what we get to learn: When the patient receives both the device and instructions in the mail and the physician or facility staff never instructed the patient directly, you shouldn't go for 93270, as CPT Assistant points out.

    What's more, you shouldn't use 93270 if the patient sends no transmissions. If no tracing is sent, then there can be no report and no reportable service has been provided even though the patient received a monitor for a month, states CPT Assistant.
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