Wednesday, October 20, 2010

93270 Calls for Minimum Transimission

As per CPT Assistant if you going to report 93270 you should have check some conditions.


Often, you may be confused over questions such as this: Question: Should you report 93270 even when the only transmission was the test transmission?


The answer is that you should be able to report 93270 in the situation you describe, assuming you meet certain conditions.



As per 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 instructed the patient on proper monitor use (including hookup, recording, and transmission).
  • The patient sent at least one transmission; the reason being: Patients must send a test transmission when the monitoring period starts to ensure the device is working.
    Lesson learned: According to CPT Assistant, when the patient (1) gets both the device and instructions in the mail and (2) the physician or facility staff never instructed the patient directly, you shouldn't report 93270.


    You also shouldn't report 93270 if the patient sends no transmissions. CPT Assistant states, “If no tracing is sent, then there can be no report and no reportable service has been provided although the patient received a monitor for a month.

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