2025 CPT code 93243
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Cardiovascular Monitoring Services Cardiovascular Procedures Feed
External electrocardiographic recording for more than 48 hours up to 7 days; scanning analysis with report.
Modifiers may be applicable depending on the circumstances of the service. Consult the CPT manual and your payer's guidelines for appropriate modifier usage.
Medical necessity for this code is established when a patient presents with symptoms suggestive of cardiac arrhythmias (such as palpitations, syncope, or dizziness) or when there is a need to assess the effectiveness of treatment for known arrhythmias.A longer monitoring period than a standard 24-hour Holter monitor is often necessary to capture infrequent or intermittent arrhythmias.
The clinical responsibility for this code involves the application and removal of the electrocardiographic device by a qualified technician.The technician also performs the scanning analysis of the recorded data and prepares the report. A physician or other qualified healthcare professional then reviews the report and provides the final interpretation.
In simple words: This test uses a small device worn on your body to continuously record your heart's activity for more than two days, up to a week.Later, a technician analyzes the recording and provides a report to your doctor.
This CPT code encompasses the external electrocardiographic recording of the heart's electrical activity for a period exceeding 48 hours, extending up to 7 days. The recording is continuous, and the procedure includes a subsequent scanning analysis of the recorded data, culminating in a comprehensive report.This report details the analysis of the electrocardiographic rhythm, including frequency, duration, and correlations with any reported symptoms.
Example 1: A patient presents with recurrent episodes of palpitations and dizziness.A 7-day external electrocardiographic recording (93243) is ordered to identify potential arrhythmias that may be intermittent and not readily detected during shorter monitoring periods., A patient undergoing treatment for atrial fibrillation requires monitoring to assess the effectiveness of their medication. A 7-day external electrocardiogram (93243) is performed to evaluate the efficacy of the treatment and identify any potential recurrence of arrhythmias., A patient experiences syncope (fainting) of unknown origin.A 5-day continuous ECG (93243) is ordered to identify possible cardiac causes, such as silent arrhythmias, and correlate them with the patient's symptoms.
** The duration of the recording (more than 48 hours up to 7 days) is a key factor differentiating this code from other electrocardiographic monitoring codes.Accurate documentation of the recording duration, analysis, and reporting is crucial for proper coding and reimbursement.
- Revenue Code: T2C (OTHER TESTS - EKG MONITORING)
- RVU: The relative value units (RVUs) for this code will vary based on geographic location, payer, and other factors.Consult your specific payer's fee schedule for the most accurate information.
- Global Days: No global period is associated with this code.
- Payment Status: Active
- Modifier TC rule: No technical component (TC) modifier applies to this code as it encompasses both the technical and professional components.This service includes the recording, analysis, and report generation by the technician.
- Fee Schedule: Historical fee schedules are not readily available in the provided information and would vary significantly by payer and geographic location.It is best to consult your specific payer for their historical fee schedules.
- Specialties:Cardiology, Electrophysiology
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center, other clinical settings as appropriate.