2025 CPT code 93241
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Electrocardiography Cardiology Feed
External electrocardiographic recording for more than 48 hours up to 7 days; includes recording, analysis, report, review, and interpretation.
Modifiers may apply depending on the specific circumstances of the service. Consult current modifier guidelines for appropriate use.
Medical necessity is established based on the patient's clinical presentation, including symptoms suggestive of cardiac arrhythmias or other rhythm disturbances.It requires proper clinical justification and should be documented in the patient's chart.
The physician or other qualified healthcare professional is responsible for ordering the test, interpreting the results, and managing the patient's care based on the findings.Technical aspects like device application and data analysis might be delegated to trained personnel.
In simple words: This test uses a small device worn for more than two days (up to a week) to continuously record your heart's electrical activity.The recording is analyzed by a specialist to check for heart rhythm problems.
This CPT code encompasses the complete process of external electrocardiographic (ECG) recording for a duration exceeding 48 hours, extending up to 7 days.The service includes attaching the monitoring device to the patient, continuous rhythm recording and storage, data analysis (including scanning and report generation), physician review, and final interpretation of the electrocardiographic findings.The analysis incorporates frequency, duration, and symptomatic rhythm correlations.A technician reviews the data and notifies the physician, who uses the initial findings report, along with any patient-logged diary events, to generate the final interpretation.
Example 1: A patient presents with palpitations and occasional syncope. The physician orders a 7-day continuous ECG recording (93241) to identify potential arrhythmias., A patient with a history of atrial fibrillation undergoes a 5-day ECG monitoring (93241) to assess the effectiveness of their medication and detect any new episodes of arrhythmia., A post-myocardial infarction patient is fitted with a 72-hour continuous ECG monitoring (93241) device to evaluate for silent ischemia or ventricular arrhythmias that could signal impending cardiac events.
Detailed patient history, including symptoms, medications, and relevant past medical conditions.Physician's order specifying the duration of monitoring.Technical documentation showing device application, signal quality, and data transmission.Completed and interpreted ECG report with the physician's final interpretation.
** Proper documentation is crucial for accurate coding and reimbursement.Always refer to the most current CPT manual and payer guidelines for complete coding instructions.
- RVU: The RVUs for this code are subject to change and should be verified through the current CMS fee schedule.
- Global Days: This is a global code encompassing the entire service period (more than 48 hours up to 7 days).Separate billing for components is permissible under specific conditions and should adhere to payer guidelines.
- Payment Status: Active
- Modifier TC rule: Depending on who provides the technical component of the service, modifiers like -TC may be used. Refer to guidelines for proper usage.
- Fee Schedule: Historical fee schedules vary by payer and year.Consult relevant payer resources for historical fee data.
- Specialties:Cardiology, Internal Medicine, Electrophysiology
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center