2025 CPT code 93040
(Active) Effective Date: N/A Revision Date: N/A Medicine - Cardiovascular Procedures Feed
Rhythm ECG, 1-3 leads; with interpretation and report.
Modifiers 51, 52, 59, 76, 77, 79, and others may be applicable depending on the specific circumstances of the service.Modifier 26 and TC are not applicable and not to be used with this code.
Medical necessity must be supported by documentation in the patient's medical record. The need for the rhythm ECG should be clearly justified based on the patient's symptoms, clinical presentation, or relevant medical history.
The physician is responsible for ordering the test, applying the electrodes and leads, ensuring proper recording of the ECG, interpreting the tracing, and generating a signed written report.
In simple words: This procedure involves recording your heart's electrical activity using a few sensors attached to your chest. The doctor then analyzes the recording and prepares a report explaining the results.
This code represents a rhythm electrocardiogram (ECG) using one to three leads, including the physician's interpretation and a written report.It involves recording the heart's electrical activity for a specified period to detect arrhythmias or other cardiac abnormalities. The process includes attaching electrodes to the patient's chest, recording the electrical signals, analyzing the tracing, and generating a report documenting the findings.
Example 1: A patient presents to the emergency department with palpitations. A rhythm ECG is performed to evaluate for potential arrhythmias., A patient is admitted to the hospital for chest pain. A rhythm ECG is ordered to monitor the heart's electrical activity during their stay., A patient with a history of atrial fibrillation undergoes a rhythm ECG to assess their current heart rhythm and guide treatment.
Documentation must include a physician's order for the rhythm ECG, the reason for the test, the tracing itself, and a separate, signed, written, and retrievable report documenting the interpretation of the ECG. The report should include the provider’s evaluation of the rhythm strip and his/her conclusions of what it shows, including specific diagnosis, if any.
** Code 93041 is used for the technical component only, while code 93042 is used for the professional component only. As of today (2024-12-01), this information is current. However, medical coding guidelines and regulations are subject to change, so it's always recommended to consult the latest CPT manual for the most up-to-date information.
- Revenue Code: T2A (OTHER TESTS - ELECTROCARDIOGRAMS)
- Modifier TC rule: Modifier TC is not applicable to code 93040.
- Specialties:Cardiology, Emergency Medicine, Internal Medicine, Family Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital, Skilled Nursing Facility, Nursing Facility, Other Place of Service