2025 CPT code 93247
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Cardiovascular Monitoring Services Cardiovascular Procedures Feed
External electrocardiographic recording for more than 7 days up to 15 days; scanning analysis with report.
Modifiers 26 (professional component) and TC (technical component) are commonly used with this code. Modifier 59 (distinct procedural service) may be necessary if other procedures were performed on the same day.
Medical necessity is established based on the clinical indication for extended ECG monitoring, such as a high suspicion of intermittent arrhythmias not detectable by shorter monitoring periods, evaluation of syncope, or post-MI surveillance. Supporting documentation must justify the need for a prolonged monitoring period exceeding 7 days.
The clinical responsibility includes applying the device, ensuring proper recording and data transmission, performing the scanning analysis, generating the report, and notifying the physician of critical findings.
In simple words: This code covers a long-term heart rhythm monitoring test (ECG) that lasts for more than 7 days but up to 15 days.A technician analyzes the recorded heartbeats and creates a report for the doctor.
This CPT code encompasses the technical component of continuous external electrocardiographic (ECG) recording exceeding 7 days but not exceeding 15 days.The service includes the application of the device, continuous rhythm recording and storage, and a comprehensive scanning analysis culminating in a detailed report of the findings.The report includes frequency, duration, and symptomatic rhythm correlations. Physician interpretation is separately reported (CPT code 93248).
Example 1: A patient with suspected atrial fibrillation undergoes extended ECG monitoring (93247) to document the rhythm and determine the frequency and duration of episodes., A patient with syncope (fainting) is fitted with an extended ECG monitor (93247) to identify potential cardiac causes like bradycardia or tachycardia., A post-myocardial infarction patient is monitored with an extended ECG device (93247) to detect any silent ischemia or arrhythmias.
Detailed patient history indicating the reason for extended ECG monitoring, device application documentation, confirmation of proper functioning and data capture, technician analysis report, and physician's interpretation report (CPT code 93248).
** Accurate coding requires detailed documentation of the duration of the monitoring period, type of device used, and specifics of the analysis and report.Payer-specific policies should be considered before submission of claims.
- Revenue Code: T2C (OTHER TESTS - EKG MONITORING)
- RVU: The RVUs for CPT code 93247 are subject to change and depend on the specific payer (Medicare, Medicaid, private insurance, etc.).Consult the appropriate fee schedule for the most current information.
- Global Days: This code does not have a defined global period.The professional interpretation (93248) may have a global period depending on payer guidelines.
- Payment Status: Active
- Modifier TC rule: Modifier TC (Technical Component) is usually appended to bill for the technical aspect of the extended ECG monitoring, while modifier 26 (Professional Component) is used to bill for physician interpretation. Both cannot be billed together.
- Fee Schedule: The historical fee schedule for CPT code 93247 varies by payer and year.Consult historical payer fee schedules for the specific dates and payment rates.This data is subject to continuous updates and should be cross-referenced with reliable payer resources.
- Specialties:Cardiology, Electrophysiology
- Place of Service:Office, Hospital (Inpatient/Outpatient), Ambulatory Surgical Center, Other