External loop recorder interrogation

CPT 93272 is the billing code for "External loop recorder interrogation". For interrogation of external loop recorder device

Medicare pays approximately $22.97 for CPT 93272 (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 93272 has a total RVU of 2.38, broken down as: Work RVU 0.80, Practice Expense RVU 1.50, and Malpractice RVU 0.08. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 93272 include: Indication for interrogation; Interrogation findings; Recorded events; Interpretation and report. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 93272: Includes device interrogation. Includes data download Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 93272 include: 26 (Professional component only (interpretation)), TC (Technical component only (equipment/staff)), 59 (Distinct procedural service if performed separately). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 93272 is 5-10 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.