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2025 CPT code 93042

Rhythm ECG interpretation and report; this code is for the professional component only.

Codes 93040-93042 are only appropriate when an order for the test is triggered by an event, the rhythm strip is used to help diagnose the presence or absence of an arrhythmia, and a report is generated. There must be a specific order for an electrocardiogram or rhythm strip followed by a separate, signed, written, and retrievable report.It is not appropriate to use these codes for reviewing the telemetry monitor strips taken from a monitoring system.

Modifiers may apply depending on the circumstances of service. Consult current modifier guidelines.

The rhythm strip and interpretation are medically necessary when there is clinical suspicion of arrhythmia based on patient presentation (e.g., palpitations, dizziness, syncope) or other clinical indicators necessitating immediate assessment of the heart rhythm. The medical necessity must be clearly documented in the medical record.

The physician interprets the rhythm ECG tracing and prepares a written report documenting the findings and any abnormalities detected in the heart's rhythm.

IMPORTANT 93000 and 93010 (12-lead ECG interpretation and report), 93040 (rhythm ECG, one to three leads, with interpretation and report), 93041 (rhythm ECG, one to three leads, tracing only without interpretation and report)

In simple words: The doctor reviews a recording of the heart's electrical activity (like a short EKG) to check for any rhythm problems. They write a report explaining their findings.

This CPT code, 93042, represents the professional interpretation and report of a rhythm electrocardiogram (ECG) using one to three leads.The physician analyzes the heart's electrical activity recorded from a rhythm strip or rhythm ECG to identify any rhythm abnormalities. The service includes a separate, signed, written, and retrievable report detailing the findings.This code does not include the technical component of the procedure (obtaining the tracing).

Example 1: A patient presents to the emergency department with palpitations. A three-lead rhythm strip is obtained, and the physician interprets the tracing and documents the findings in a report using 93042., A patient is admitted to the hospital for observation due to suspected atrial fibrillation.A bedside rhythm strip is obtained every few hours.The attending physician reviews each strip and generates a report, coding each interpretation with 93042., A patient in the ICU is being monitored with continuous telemetry.The cardiologist reviews specific rhythm strips flagged by the monitoring system and documents their findings with code 93042.This only applies to specific strips ordered by a physician, not the continuous monitoring itself.

* Physician's order for the rhythm strip.* The rhythm strip recording.* A signed, written report detailing the interpretation and findings.* Documentation in the patient's medical record supporting the medical necessity for the rhythm strip.

** This code is for the professional interpretation only.The technical component (acquisition of the rhythm strip) requires a separate code (93041).If both professional and technical components are performed, code 93040 should be used.

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