2025 CPT code 93271
Effective Date: N/A Revision Date: N/A Medicine - Cardiovascular 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; transmission and analysis.
Modifiers may be applicable to this code. Refer to current CPT coding guidelines for appropriate modifier usage.
Medical necessity for event monitoring must be established based on the patient's presenting symptoms, medical history, and risk factors for cardiac arrhythmias. The documentation should support the need for continuous monitoring to diagnose or manage a cardiac condition.
The physician or other qualified healthcare professional is responsible for prescribing the event monitoring, reviewing the transmitted ECG data, interpreting the findings, and making treatment recommendations based on the analysis. The attended surveillance center technician is responsible for continuous monitoring of the transmitted data, notifying the physician of significant events, and ensuring data quality.
In simple words: This procedure monitors your heart rhythm for up to 30 days using a small, wearable device. The device records your heart's electrical activity and automatically sends the recordings to a monitoring center when it detects certain changes or when you experience symptoms. A technician at the center reviews the recordings 24/7 and informs your doctor if there are any problems.
This service involves continuous electrocardiographic rhythm recording and storage for up to 30 days using an external event recorder. The device, applied to the patient, automatically transmits ECG data upon detection of specific symptoms or pre-programmed criteria. The transmission is downloaded and analyzed by a 24-hour attended surveillance center, which notifies the physician of significant findings.
Example 1: A patient presents with intermittent palpitations and dizziness. To determine the cause and frequency of these episodes, the physician orders a 30-day event monitor with attended surveillance., A patient experiences syncope. An event monitor is used to detect and record any underlying cardiac arrhythmias that may be contributing to the syncopal episodes., Following a myocardial infarction, a patient is prescribed an event monitor to detect any silent ischemia or potentially life-threatening arrhythmias that may arise.
Documentation should include the medical reason for the monitoring (e.g., symptoms, prior cardiac events), the duration of the monitoring period, interpretation of the ECG recordings, and any resulting diagnoses or treatment plans. Patient instructions on using the device and transmitting data should also be documented.
- Specialties:Cardiology, Internal Medicine, Family Medicine
- Place of Service:Office, Outpatient Hospital, Home