2025 CPT code 93015
(Active) Effective Date: N/A Revision Date: N/A Cardiovascular Procedures - Cardiovascular Stress Tests Cardiography Procedures Feed
Cardiovascular stress test involving maximal or submaximal treadmill/bicycle exercise, continuous ECG monitoring, and/or pharmacological stress; includes supervision, interpretation, and report.
Modifiers may be applicable depending on the specific circumstances of the service. Refer to the CPT manual and payer guidelines for appropriate modifier use.
The medical necessity for a cardiovascular stress test must be documented in the patient's medical record, supporting the clinical indication and ruling out alternative diagnostic methods.The test must be medically necessary for the diagnosis or management of the patient's condition.
The physician is responsible for supervising the patient during the exercise or pharmacological stress test, monitoring ECG and blood pressure, interpreting the results, and generating a written report.
In simple words: This test checks your heart's function under stress. You'll exercise on a treadmill or bike while your heart's electrical activity and blood pressure are monitored. A doctor will watch you, interpret the results, and give you a report.
This CPT code (93015) encompasses a cardiovascular stress test using maximal or submaximal exercise on a treadmill or bicycle, continuous electrocardiographic (ECG) monitoring, and/or pharmacological stress.The test includes physician supervision of the patient throughout the procedure, interpretation of the collected ECG data, and generation of a comprehensive written report detailing the findings. The provider monitors the patient's vital signs, including blood pressure and ECG readings, at regular intervals during the test to analyze the heart's electrical activity under stress.
Example 1: A 55-year-old male patient with chest pain undergoes a treadmill stress test with continuous ECG monitoring. The physician supervises the test, interprets the ECG tracings, and documents the findings in a report., A 62-year-old female patient with a history of hypertension undergoes a pharmacological stress test using dobutamine. The physician supervises the medication administration, monitors the patient's ECG and blood pressure, interprets the results, and creates a report., A 48-year-old patient with family history of coronary artery disease undergoes a bicycle stress test. The physician oversees the procedure, interprets the ECG, and provides a detailed report to the referring physician.
* Patient's medical history, including relevant risk factors.* Indication for stress test (e.g., chest pain, suspected coronary artery disease).* Detailed ECG tracings obtained throughout the test.* Blood pressure readings at baseline and during intervals of the test.* Physician's interpretation of the ECG and blood pressure data.* Written report summarizing the findings and recommendations.
** Accurate coding requires precise documentation of the type of exercise used (treadmill or bicycle), whether pharmacological stress was employed, and a clear indication of the services provided (supervision, interpretation, report).
- Revenue Code: T2B (OTHER TESTS - CARDIOVASCULAR STRESS TESTS)
- RVU: Refer to the CMS national physician fee schedule for current RVU values.RVUs vary based on geographic location and other factors.
- Global Days: The global period for this procedure is not specified in the provided data and would need to be determined by referring to payer-specific guidelines and local coverage determinations.
- Payment Status: Active
- Modifier TC rule: This code includes both the professional and technical components.Modifiers 26 (professional component) and TC (technical component) should not be appended.
- Fee Schedule: Historical fee schedule data is not provided but can be obtained from CMS and other sources.
- Specialties:Cardiology, Internal Medicine
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center