2025 CPT code 93228
(Active) Effective Date: N/A Revision Date: N/A Medicine - Cardiovascular Monitoring Services Feed
Physician review and interpretation of data from continuous recording and transmission of electrocardiographic data for up to 30 days.
Modifiers may be applicable. Refer to current CPT guidelines for appropriate modifier usage.
Medical necessity must be established for each instance of 93228.This typically includes symptoms or conditions that warrant continuous cardiac monitoring, such as syncope, palpitations, or suspected arrhythmias.
In simple words: This procedure involves the doctor reviewing and interpreting heart rhythm data collected over a period of up to 30 days. The data is continuously recorded by a small, wearable device and sent to a monitoring center. The doctor analyzes this information to identify any abnormal heartbeats.
External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with query) with ECG triggered and patient selected events transmitted to a remote attended surveillance center for up to 30 days; review and interpretation with report by a physician or other qualified health care professional. (Report 93228 only once per 30 days) (Do not report 93228 in conjunction with 93224, 93227)
Example 1: A patient experiences infrequent palpitations. They are fitted with a mobile cardiac telemetry monitor for 30 days to capture and analyze these episodes., A patient has a history of atrial fibrillation. They undergo continuous ECG monitoring for 30 days to assess the effectiveness of their medication., Following a cardiac event, a patient is placed on a 30-day mobile cardiac telemetry monitor for continuous monitoring and early detection of any recurrent arrhythmias.
Documentation should include the medical necessity for the monitoring, the type of monitoring device used, the duration of the monitoring, and the physician's interpretation of the data.