What CPT codes now encompass the services previously reported with G2066 for remote device interrogation?
G2066, a temporary HCPCS Level II code, did not directly replace a single CPT code. Instead, the services it covered for the technical component of remote device interrogation were integrated into the existing CPT codes 93297 and 93298 beginning January 1, 2022.
Understanding G2066 and its Evolution in Remote Device Monitoring
Historically, accurate coding for remote cardiac device monitoring involved various complexities, especially concerning the technical component of these services. G2066 played a specific, though temporary, role in this landscape.
The Original Role of G2066
G2066 served as a carrier-priced technical code specifically designated for the remote interrogation of certain cardiac devices. This code was utilized for reporting the technical services associated with CPT codes 93297 and 93298. Essentially, when a remote interrogation was performed, the professional interpretation might be billed under 93297 or 93298, while G2066 was used to capture the technical aspects, such as data transmission and initial review, that are essential for the complete service.
- G2066: A HCPCS Level II code used for the technical component of remote interrogation services.
- CPT 93297: Describes the remote interrogation device (e.g., pacemaker, implantable defibrillator, cardiac resynchronization device, wearable defibrillator) evaluation, with analysis, review, and report by a physician or other qualified healthcare professional, covering up to 90 days.
- CPT 93298: Describes the remote interrogation device (e.g., implantable loop recorder) system evaluation, with analysis, review, and report by a physician or other qualified healthcare professional, covering up to 30 days.
This dual-code approach allowed for separate billing of the technical infrastructure and the professional interpretive work, especially under Medicare guidelines.
Transition to Integrated CPT Coding
Effective January 1, 2022, G2066 was discontinued by the Centers for Medicare & Medicaid Services (CMS). This change was part of an effort to streamline coding for remote device monitoring. Following its discontinuation, the services previously reported with G2066—namely the technical component of remote interrogations—became fully integrated into the existing CPT codes 93297 and 93298.
This means that CPT codes 93297 and 93298 now encompass both the professional and technical components of the remote interrogation services they describe. This integration simplifies billing by eliminating the need for a separate G-code to capture the technical aspects.
Impact on Billing Practices
For providers, this shift means that the full scope of remote interrogation services, including both the technical setup and the professional review, can now be reported using a single CPT code. This change aimed to:
- Simplify Billing: Reduce the complexity of submitting claims for remote monitoring services.
- Improve Reimbursement Clarity: Ensure that all components of the service are appropriately reimbursed under a single, comprehensive code.
- Promote Comprehensive Care: Encourage the complete reporting of remote device management, from data collection and transmission to clinical analysis and decision-making.
The table below illustrates the shift in coding practices:
| Service Component | Prior to 2022 (with G2066) | Effective January 1, 2022 |
|---|---|---|
| Technical Component | Reported with G2066 (a HCPCS code) | Integrated into CPT 93297 or 93298 |
| Professional Component | Reported with CPT 93297 or 93298 | Included within CPT 93297 or 93298 |
| Overall Remote Interrogation | Required combined reporting (e.g., 93297/93298 + G2066) | Reported comprehensively with CPT 93297 or 93298 only |
This transition highlights the continuous evolution of medical coding to reflect technological advancements and optimize healthcare delivery models. Providers must stay informed of such updates to ensure accurate reporting and appropriate reimbursement for essential patient care services. For further details on specific coding guidelines, it is advisable to consult the latest CPT Manual and official CMS publications.
