2025 CPT code 93225
(Active) Effective Date: N/A Revision Date: N/A Medicine - Cardiovascular Feed
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection).
Modifiers may be applicable to indicate specific circumstances, such as distinct procedural services (modifier 59), reduced services (modifier 52) or multiple procedures (modifier 51).
Medical necessity must be established for the Holter monitoring.Documentation should support the reason for the monitoring, such as symptoms or prior findings suggesting a potential cardiac condition, and how the test results will impact the patient's treatment plan.
A qualified healthcare professional (physician or other qualified professional) is responsible for instructing the patient on how to use the ECG recorder, placing the electrodes, ensuring proper device function during the recording period, and removing the device after the recording is complete.
In simple words: A healthcare professional attaches a small, portable ECG monitor to your chest for up to two days.This monitor continuously records your heart's activity. Code 93225 covers the process of setting up the monitor, the recording of your heart’s rhythm, and taking the monitor off.It does not include analyzing the recording or a doctor's interpretation of the results.
This code reports the technical service of connecting, recording, and disconnecting an external electrocardiographic (ECG) device for continuous rhythm recording and storage for up to 48 hours. It includes the hook-up of the device, the recording process itself, and the subsequent disconnection. This is a component of the complete Holter monitoring service, which also involves analysis, interpretation, and reporting.
Example 1: A patient presents with palpitations and dizziness. A 48-hour Holter monitor is ordered to assess for cardiac arrhythmias. Code 93225 is reported for the process of applying the Holter monitor, recording the ECG data, and removing the device., A patient with a history of syncope undergoes a 24-hour Holter monitoring. The cardiologist performs code 93225 to document the application and removal of the Holter monitor along with the recording itself., A patient experiences intermittent chest pain. To evaluate for a possible cardiac cause, a 48-hour Holter monitor is ordered. The physician’s office bills 93225 for the technical component of applying and removing the device and continuous recording for the specified duration.
Documentation should include the date and time of hook-up and disconnection, the duration of the recording, any patient symptoms during the monitoring period, and any technical difficulties encountered. Confirmation of continuous rhythm recording and storage is also important.
** This information is current as of December 1, 2024.Coding and reimbursement guidelines may be subject to change, it's essential to check current resources.
- Modifier TC rule: No TC modifier applies to this code.
- Specialties:Cardiology, Internal Medicine, Family Medicine
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, etc. (depending on where the service is performed)