2025 CPT code 93227
(Active) Effective Date: N/A Revision Date: N/A Cardiovascular Procedures - Electrocardiographic Monitoring Medicine Services and Procedures > Cardiovascular Procedures Feed
External electrocardiographic recording up to 48 hours; physician review and interpretation.
Modifier 52 (Reduced Services) may be applied if the recording is less than 12 hours. Other modifiers may be applicable depending on the specific circumstances of service. Consult the CPT manual for guidance.
Medical necessity for 93227 is established when there is clinical suspicion of cardiac arrhythmias or other cardiac events.This is generally supported by the patient's presenting symptoms and relevant clinical findings. Justification should be documented in the patient's medical record.
The physician or other qualified healthcare professional reviews and interprets the recorded electrocardiographic data, correlating findings with the patient's symptoms (if any) to provide a diagnosis.
- Medicine Services and Procedures > Cardiovascular Procedures
- Cardiovascular system procedures; Electrocardiographic monitoring
In simple words: This code covers the use of a portable heart monitor worn for up to 48 hours. The monitor records the heart's rhythm continuously, and a doctor reviews the recording to check for any heart problems.
This CPT code encompasses the external electrocardiographic (ECG) recording for a period not exceeding 48 hours using continuous rhythm recording and storage.The service includes recording, scanning analysis with report, and review and interpretation of the electrocardiographic data by a physician or other qualified healthcare professional.The recording utilizes a device worn by the patient that continuously monitors the heart's electrical activity and stores the information.
Example 1: A patient presents with intermittent palpitations.A 48-hour Holter monitor (93227) is applied to detect any arrhythmias during daily activities. The physician interprets the results to determine the nature and frequency of the arrhythmia., Post-myocardial infarction (MI) patient is monitored with a 48-hour Holter monitor (93227) to detect any signs of recurrent ischemia or arrhythmias. This is done to assess the effectiveness of treatment and identify potential complications., A patient reports dizziness and lightheadedness.A 48-hour Holter monitor (93227) is used to identify possible cardiac causes such as bradycardia or atrial fibrillation.Physician interpretation will guide further management.
* Patient's medical history, including symptoms and relevant risk factors.* Detailed description of the procedure, including the type of device used, duration of monitoring, and any technical issues.* Electrocardiographic tracings and reports from the interpreting physician.* Patient diary documenting symptoms and activities during the monitoring period.
** This code should only be billed once per 48-hour period, even if multiple recordings are performed.Overlapping services with other electrocardiographic monitoring codes may result in denials.
- Revenue Code: T2C (OTHER TESTS - EKG MONITORING)
- RVU: This information is not available in the provided text. RVUs vary based on geographic location and other factors. Consult the CMS website or a reliable medical billing resource for current RVU values.
- Global Days: The provided text does not specify a global period for this code.Further research is needed to determine if a global period applies.
- Payment Status: Active
- Modifier TC rule: Modifier 26 (Professional Component) is not appended because code 93227 inherently represents only the professional component. Modifier TC (Technical Component) is also not applicable.
- Fee Schedule: Historical fee schedule data is not provided.Fee schedules vary by payer and geographic location. Consult relevant fee schedules for accurate reimbursement information.
- Specialties:Cardiology, Internal Medicine, Family Medicine
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center