It looks like we share some of the same CPT codes as iRhythm, and the recent changes to the CPT rates were cause for its share price to drop in Jan 2021 - iRhythmTanks 33% On Reduced Medicare Reimbursement Rates
If the article is correct the biggest drop is code 0297T from about $311 to $42.68 (in Texas). However, the temporary code has been scrapped anyway and replaced with 93247. See AMAreleases 2021 CPT code set (cmadocs.org)This is a bit concerning that a) GMed quoted the old code and b) it may be well off the range of $200 to $350.
“Under the IDTF umbrella, we offer four types of services for remote cardiac monitoring:
● MCT: a 24/7 remote cardiac monitoring and transmission in near-real time of specific arrhythmias recognized by the algorithm. This service can be provided to patients for up to 30 days and is reimbursed for up to twice a year per patient. The reimbursement under CPT code93229 will range from $550 to $1,000 depending on the insurance company, locality, and coverage.
● Extended Holter (AECG): cardiac monitoring 24/7 for up to 14 days. Analysis is done off-line when the device is returned to the call center. This service is reimbursed multiple times a year per patient. Reimbursement under Temporary CPT code 0297T will range from $200 to $350 depending on the insurance company, locality and coverage.
● Cardiac Event Monitor (CEM): cardiac monitoring and recording only when the patient has an arrhythmia. This service is available for up to 30 days and reimbursed per patient multiple times a year. Reimbursement under CPT code 93271 will range from $150 to $250 depending on the insurance company, locality and coverage.
● 24/48 Hours Holter Monitoring: cardiac monitoring for up to 24-48 hours only. This service can be provided per patient, multiple times per year. Reimbursement under CPT code 93226 will range from $38 to $55 depending on the insurance company, locality and coverage.”
