2025 CPT code 93245
(Active) Effective Date: N/A Revision Date: N/A Cardiovascular Procedures - Long-term continuous recorders Cardiovascular Monitoring Services Feed
External electrocardiographic recording for more than 7 days up to 15 days; includes recording, analysis, report, and interpretation.
Modifiers may be applicable depending on the specific circumstances of service delivery, such as multiple procedures (modifier 51) or the use of assistants (modifiers 80, 81, or 82).Consult current modifier guidelines for specific details.
Medical necessity for a 93245 is established by the presence of symptoms suggestive of intermittent or prolonged cardiac arrhythmias, or the need to monitor the effectiveness of cardiac medication or treatment for previously diagnosed arrhythmias, which cannot be adequately assessed using shorter monitoring periods.
The clinical responsibility includes instructing the patient on the use of the device, applying the electrodes and monitor, retrieving the data, reviewing the initial analysis from the processing center, interpreting the results, and reporting the findings to the patient.
- Cardiovascular Monitoring Services
- Cardiovascular Procedures > Cardiovascular Monitoring Services > Long-term continuous recorders
In simple words: The doctor attaches a small device to your body that continuously records your heart's activity for more than a week but less than two weeks.The device's data is then analyzed, and a report is created and reviewed by the doctor to check for any heart rhythm problems.
This CPT code encompasses the comprehensive service of external electrocardiographic (ECG) recording lasting over 7 days but not exceeding 15 days. The service includes the application of the ECG device, continuous rhythm recording and storage, data analysis, report generation, and physician review and interpretation of the findings.The device continuously monitors and records the heart's electrical activity throughout the monitoring period.The collected data is analyzed to identify any cardiac rhythm irregularities or abnormalities. A detailed report is generated that summarizes these findings, which the physician then reviews and interprets to provide a comprehensive assessment of the patient's cardiac health.
Example 1: A patient presents with intermittent palpitations and dizziness.The physician orders a 93245 to monitor for potential arrhythmias that may not be detected during a standard ECG., A patient with a history of atrial fibrillation is undergoing treatment with a new medication. A 93245 is performed to assess the efficacy of the medication in controlling their arrhythmia., A patient recovering from a cardiac event undergoes a 93245 to monitor for potential recurrence of arrhythmias and evaluate the patient’s overall cardiac health.
Detailed patient history, including symptoms and medication list;documentation of electrode placement;a record of the device's operation and any issues encountered;the final report from the processing center;the physician's interpretation and diagnosis based on the report.
** Always refer to the most up-to-date CPT codebook and payer guidelines for accurate coding and billing practices. This information is current as of December 3, 2024.
- Revenue Code: T2C (OTHER TESTS - EKG MONITORING)
- RVU: This information is not available in the provided sources and varies based on location, payer, and other factors.Consult the appropriate fee schedule for specific RVU values and reimbursement rates.
- Global Days: This code represents a global service, encompassing all aspects from recording to interpretation.The global period is not specified in the provided sources, but it is assumed to cover the entire duration of the monitoring period (more than 7 days up to 15 days).
- Payment Status: Active
- Modifier TC rule: A Technical Component (TC) modifier is not applicable to code 93245 as it is a global procedure.
- Fee Schedule: This information is not available in the provided sources. Consult the appropriate fee schedule for historical and current payment rates.
- Specialties:Cardiology, Electrophysiology
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center