2025 CPT code 93248
(Active) Effective Date: N/A Revision Date: N/A Cardiology - Electrocardiographic Monitoring Medicine Services and Procedures > Cardiovascular Procedures Feed
External electrocardiographic recording for more than 7 days up to 15 days; review and interpretation.
Modifiers may be applicable depending on the circumstances of service. Consult the CPT manual and payer specific guidelines for appropriate modifier usage.
Medical necessity for code 93248 is established when there is clinical indication for prolonged monitoring (longer than 7 days) to assess for arrhythmias or other cardiac events not readily detected by shorter-term monitoring. This is commonly indicated for patients experiencing intermittent or infrequent symptoms that are difficult to capture with shorter monitoring periods.The documentation must support the medical necessity for the extended monitoring.
The physician is responsible for the final interpretation of the electrocardiographic data, often considering the data in conjunction with the patient's diary of events.This code represents only the physician's review and interpretation; the initial report is generated by a processing center technician.
In simple words: The doctor reviews and interprets the results from a heart rhythm monitor that the patient wore for more than 7 days but less than 15 days to check for any abnormal heartbeats or rhythms.
This CPT code encompasses the external electrocardiographic recording of a patient's heart rhythm for a period exceeding 7 days but not exceeding 15 days, utilizing continuous rhythm recording and storage.The service also includes a comprehensive review and interpretation of the recorded electrocardiographic data by the physician.
Example 1: A patient presents with intermittent palpitations and syncope.The physician orders a 10-day external ECG monitor to capture infrequent arrhythmic events. Code 93248 is reported after the physician reviews and interprets the recorded data from the 10-day monitoring period. , A patient with a history of atrial fibrillation is fitted with a 14-day external ECG monitor to assess the effectiveness of their medication regimen.Following the monitoring period, the physician reviews the ECG data and generates a report using code 93248. , A patient experiences unexplained dizziness and lightheadedness.A 12-day external ECG monitoring is ordered to rule out cardiac causes. The physician interprets the data using code 93248 after the monitoring period.
* Detailed patient history, including symptoms and relevant medical conditions.* Complete description of the electrocardiographic monitoring device used.* Documentation specifying the duration of the monitoring period (more than 7 days, up to 15 days).* The initial report generated by the processing center technician.* The physician's final interpretation of the electrocardiographic data, including any significant findings and clinical implications.
** This code is specifically for the physician's interpretation of the data; the initial report from the processing center is not included in this code.
- Revenue Code: T2C (OTHER TESTS - EKG MONITORING)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Cardiology
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center