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CPT 93298: 2026 Billing, Modifiers, Reimbursement, and Denial Guide

CPT 93298 loop recorder remote interrogation billing 2026 hero banner: subcutaneous cardiac rhythm monitor over a 30-day period with a 10-day floor, 93297 physiologic monitor versus 93298 rhythm monitor distinction, G2066 deleted January 2024, modifier 26 and TC component split, and the August 2025 Indiana Medicaid modifier 26 claims correction, from One O Seven RCM.

CPT 93298 reports remote interrogation device evaluation of a subcutaneous cardiac rhythm monitor across a monitoring period of up to 30 days. The billed work covers analysis of recorded heart rhythm data, clinical review, and a report. A physician or qualified healthcare professional performs that professional portion. An implantable loop recorder is the common device. […]

93294 CPT code billing guide 2026: frequency, documentation, and 93296

CPT 93294 remote pacemaker interrogation billing 2026 hero banner: professional component only for single, dual, multiple-lead, and leadless pacemaker systems, 30-day minimum and 90-day reporting limit under Novitas A56602, the 360-day rolling window arithmetic trap, 93296 technical component pairing, and NCD 20.8.1 physician-order requirement for third-party monitoring, from One O Seven RCM.

The 93294 CPT code is the physician or qualified healthcare professional’s analysis, review, and report for remote interrogation of a single-lead, dual-lead, multiple-lead, or leadless pacemaker system across a monitoring period of up to 90 days. The technical half of that same service goes on CPT 93296. Four things sink these claims. The patient turns out to […]

CPT Code 93296: 2026 Billing, Documentation, and Reimbursement Guide

CPT 93296 remote device interrogation billing 2026 hero banner: technical component only for pacemaker, leadless pacemaker, and ICD systems, 93294 and 93295 for professional interpretation, one claim per 90-day period regardless of transmission count, 30-day minimum period, and billing entity ownership rules for practice, hospital, or IDTF, from One O Seven RCM.

CPT code 93296 is the technical component of remote interrogation device evaluation, covering single, dual, or multiple lead pacemaker systems, leadless pacemaker systems, and implantable defibrillator systems for up to 90 days. That work includes receiving transmissions, acquiring device data, technician review, technical support, and distributing results. Interpretation by a physician or qualified health care […]

CPT 75580 Billing Guide: 2026 FFR-CT Coverage, Documentation, Reimbursement, and Denial Prevention

CPT 75580 FFR-CT billing 2026 hero banner: noninvasive analysis of an existing CCTA dataset, Category I since January 2024 replacing 0501T-0504T, ordering provider NPI requirement under A58095, LCD L38613 alternative-to-stress-testing rule, and Modifier 26/TC component billing, from One O Seven RCM.

CPT 75580 reports a noninvasive estimate of coronary fractional flow reserve, produced when augmentative software analyzes a coronary CT angiography dataset that was already acquired. A physician or other qualified healthcare professional reviews that estimate and writes the interpretation and report. The code doesn’t cover the original CT acquisition. Coverage and payment depend on the […]

CPT Code 75572 Billing, Documentation and Coverage Guide for 2026

CPT code 75572 structural cardiac CT billing 2026 hero banner: contrast-enhanced heart structure and morphology with 3D postprocessing included, 75574 coronary CTA comparison, pulmonary-vein mapping before AFib ablation, APC 5572 hospital outpatient reassignment, and Modifier 26 versus TC component split, from One O Seven RCM.

CPT code 75572 describes CT of the heart with contrast performed to evaluate cardiac structure and morphology. The code includes 3D image postprocessing, and it includes cardiac-function and venous-structure evaluation when those are performed as part of the study. CPT 75572 does not describe coronary artery or bypass-graft angiography. CPT 75574 covers coronary CT angiography […]

CPT code 75561: cardiac MRI billing, documentation, and reimbursement guide

CPT code 75561 cardiac MRI billing 2026 hero banner: without contrast followed by contrast and further sequences, 75557 noncontrast versus 75563 with stress, 75565 velocity flow mapping add-on at up to four units per day, Modifier 26 and TC component split, and authorization-to-protocol mismatch denials, from One O Seven RCM.

CPT 75561 at a glance CPT code 75561 reports a cardiac MRI that evaluates heart structure and function. The scan starts without contrast, then the team gives contrast and captures more sequences. It can show ventricular function and tissue findings like scar or fibrosis. CPT code 75561 does not include stress imaging. When the without-and-with-contrast […]

CPT 75574: 2026 CCTA Coding, Billing and Reimbursement Guide

CPT 75574 coronary CTA billing 2026 hero banner: coronary arteries and bypass grafts with contrast and 3D postprocessing included, 75572 non-coronary structural CT versus 75574 coronary-specific, 75571 calcium score bundled when performed same session, Modifier 26 for interpretation-only and TC for technical-only, and active CMS RAC nationwide outpatient hospital review approved August 2025, from One O Seven RCM.

Medical coding disclaimer: This article is general educational information for cardiology, radiology, and revenue-cycle professionals. It is not coding, billing, legal, or reimbursement advice for any specific claim, patient, or payer contract. CPT codes, descriptions, and related data are copyright the American Medical Association (AMA); CPT is a registered trademark of the AMA. Always verify current […]

CPT 93923: 2026 Billing, Documentation, Medicare Coverage and Denial Prevention

CPT code 93923 complete bilateral physiologic arterial study billing 2026 hero banner: three or more tested levels or a qualifying provocative maneuver required, 93922 for limited one-to-two-level studies, ABI as one component not the whole service, no automatic Modifier 50 since bilateral is built into the descriptor, and NCCI edits with same-day duplex imaging codes 93925 and 93926, from One O Seven RCM.

CPT 93923 reports a complete, bilateral physiologic study of the upper or lower extremity arteries. The study must cover three or more levels, or include a qualifying provocative maneuver, to count as complete. It measures blood flow and pressure through function, not through imaging of the vessel itself, and a routine ABI alone doesn’t meet […]

CPT Code 93925: 2026 Billing, Documentation and Reimbursement Guide

CPT code 93925 lower-extremity arterial duplex billing 2026 hero banner: complete bilateral study versus 93926 unilateral or limited, B-mode plus color-flow and spectral Doppler components required, ABI not included in the duplex code, Modifier 26 for interpretation-only and TC for technical-only, and same-day NCCI edits with physiologic testing codes 93922-93924, from One O Seven RCM.

The 93925 CPT code reports a complete bilateral duplex scan of the lower-extremity arteries or arterial bypass grafts. The study combines structural imaging with blood-flow analysis and covers both legs in the same session. CPT 93926 is the code you’ll see when the study only covers one leg or a limited portion of the vascular […]

CPT 93922: ABI Billing, Documentation and Reimbursement Guide

CPT code 93922 arterial physiologic study billing 2026 hero banner: limited bilateral ABI plus a qualifying method at one or two levels, prohibited Modifier 50 since bilateral is built into the descriptor, MUE of two reflecting upper and lower extremity same-day testing not two units per leg, 93923 for three or more levels, and the distinction from 93925 and 93926 duplex imaging, from One O Seven RCM.

CPT 93922 reports a limited, bilateral, noninvasive physiologic study of the arteries in the arms or legs, usually performed at one or two testing levels. A lower-extremity study commonly pairs ankle-brachial index measurements with a second qualifying test, such as Doppler waveform recording, volume plethysmography, or transcutaneous oxygen measurement. The code is not interchangeable with […]