2025 CPT code 93270
(Active) Effective Date: N/A Revision Date: N/A Medicine - Cardiovascular Procedures Feed
External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; recording (includes connection, recording, and disconnection)
Modifiers may be applicable. Refer to current CPT guidelines for appropriate usage.
Medical necessity must be established by the patient's symptoms and the clinical indication for cardiac monitoring.Documentation should support the need for continuous monitoring and the chosen duration (up to 30 days). Payer-specific guidelines should be consulted.
The clinician's responsibility includes providing the device to the patient, attaching electrodes to the patient's chest and the device, instructing the patient on how to use the device, including how and when to transmit recordings, and ensuring proper connection and disconnection of the device.
In simple words: This procedure involves wearing a small heart monitor for up to 30 days. The monitor records your heart’s electrical activity. You can activate it when you experience symptoms like chest pain, or it may automatically record based on pre-programmed settings.The recordings are then sent wirelessly to a center that monitors heart rhythms 24/7.
This code represents the technical component of electrocardiographic rhythm-derived event recording. It involves the connection, recording, and disconnection of a wearable device that continuously records and stores ECG data for up to 30 days. The device is patient-activated and may also be auto-activated, with a memory loop capturing pre-symptom data.Data is transmitted remotely to a 24-hour attended monitoring center.
Example 1: A patient experiencing intermittent palpitations is given an event monitor to wear for 30 days.The patient activates the monitor during episodes of palpitations to capture the heart rhythm during these events., A patient with a history of syncope has an event monitor that automatically records when the heart rate exceeds a certain threshold. The data is transmitted to the monitoring center for review., A patient experiencing dizziness and lightheadedness is prescribed a 30-day event monitor to determine the cause of these symptoms. The patient is instructed to activate the monitor when they experience the dizziness.
Documentation should include the reason for the monitoring, patient instructions, symptoms experienced by the patient (if any), date and time of recordings, and interpretation of the transmitted ECG data.
- Revenue Code: T2C - OTHER TESTS - EKG MONITORING
- Modifier TC rule: This code represents the technical component (TC) only.
- Specialties:Cardiology, Electrophysiology, Internal Medicine, Family Medicine
- Place of Service:Office, Outpatient Hospital, Home