2025 CPT code 93268
(Active) Effective Date: N/A Revision Date: N/A Medicine - Cardiovascular Monitoring Services Feed
External patient activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; includes transmission, physician review and interpretation.
Modifiers may be applicable in certain situations, such as modifier 59 (Distinct Procedural Service) to indicate that the service was distinct or independent from other services performed on the same day.
Medical necessity for this code is established when the patient experiences symptoms suggestive of a cardiac arrhythmia that requires monitoring for diagnosis or management.
The physician or other qualified healthcare professional is responsible for placing the electrocardiographic leads, explaining to the patient how to use the device, reviewing the transmitted electrocardiographic data, interpreting it for any abnormalities, reporting the findings, and taking necessary actions based on the interpretation.
In simple words: This involves using a small, wearable heart monitor to detect abnormal heart rhythms over a period of up to 30 days. The monitor records the heart's electrical activity when symptoms occur, and the data is then transmitted to a healthcare professional for review and interpretation. This allows for continuous monitoring and diagnosis of heart conditions, even when the patient is at home.
External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; includes transmission, review and interpretation by a physician or other qualified health care professional.
Example 1: A patient experiencing intermittent palpitations is fitted with an event monitor for 30 days to capture and diagnose the cause of the palpitations., A patient with a history of syncope has an event monitor placed to detect any underlying arrhythmias that may be contributing to their symptoms., A patient experiencing dizziness and lightheadedness is given an event monitor to monitor for any heart rhythm abnormalities that may be related to their symptoms.
Documentation should include the reason for the monitoring, symptoms experienced by the patient, the duration of monitoring, interpretation of the electrocardiographic recordings, and any related diagnoses or treatment plans.
** This type of monitoring differs from Holter monitoring (93224-93227), which is continuous for up to 48 hours, and mobile cardiac telemetry (93228, 93229), which allows for immediate transmission of ECG data. Event monitors record ECG segments triggered by patient activation or an internal algorithm and transmit data upon request, while long-term continuous recorders (93241-93248) record for longer durations (greater than 48 hours).
- Revenue Code: T2C (OTHER TESTS - EKG MONITORING)
- Global Days: The service includes 24-hour attended monitoring for up to 30 days.
- Payment Status: Active
- Specialties:Cardiology
- Place of Service:Office, Outpatient Hospital, Home