Medicare Claims Processing Manual (Pub. 100-04), Ch. 12 § 30.4
Cardiovascular System (Codes 92950-93799)
30.4 - Cardiovascular System (Codes 92950-93799)
(Rev. 979, Issued: 06-09-06, Effective: 07-10-06, Implementation: 07-10-06)
A. Echocardiography Contrast Agents
Effective October 1, 2000, physicians may separately bill for contrast agents used in
echocardiography. Physicians should use HCPCS Code A9700 (Supply of Injectable Contrast
Material for Use in Echocardiography, per study). The type of service code is 9. This code
will be A/B MAC (B)-priced.
B. Electronic Analyses of Implantable Cardioverter-defibrillators and Pacemakers
The CPT codes 93731, 93734, 93741 and 93743 are used to report electronic analyses of single
or dual chamber pacemakers and single or dual chamber implantable cardioverter-
defibrillators. In the office, a physician uses a device called a programmer to obtain
information about the status and performance of the device and to evaluate the patient’s cardiac
rhythm and response to the implanted device.
Advances in information technology now enable physicians to evaluate patients with implanted
cardiac devices without requiring the patient to be present in the physician’s office. Using a
manufacturer’s specific monitor/transmitter, a patient can send complete device data and
specific cardiac data to a distant receiving station or secure Internet server. The electronic
analysis of cardiac device data that is remotely obtained provides immediate and long-term
data on the device and clinical data on the patient’s cardiac functioning equivalent to that
obtained during an in-office evaluation. Physicians should report the electronic analysis of an
implanted cardiac device using remotely obtained data as described above with CPT code
93731, 93734, 93741 or 93743, depending on the type of cardiac device implanted in the
patient.