External loop recorder implantation

CPT 93270 is the billing code for "External loop recorder implantation". For implantation of external loop recorder device

Medicare pays approximately $7.76 for CPT 93270 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 93270 has a total RVU of 6.55, broken down as: Work RVU 2.50, Practice Expense RVU 3.80, and Malpractice RVU 0.25. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 93270 include: Indication for loop recorder implantation; Device placement location; Device type and model; Placement technique. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 93270: Includes device implantation. Includes device programming Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 93270 include: 51 (Multiple procedures performed same session), 59 (Distinct procedural service if performed separately), LT (Left side procedure). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 93270 is 15-30 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.