2025 CPT code 93272

External patient, auto-activated electrocardiographic rhythm derived event recording with symptom-related memory loop, remote download capability up to 30 days, 24-hour attended monitoring; physician review and interpretation.

Follow all applicable CPT coding guidelines for electrocardiography and cardiac monitoring services. Report the code only once per 30-day period regardless of the number of data transmissions reviewed.

Modifiers 52 (reduced services), 76 (repeat procedure by same physician), 77 (repeat procedure by another physician), and 79 (unrelated procedure) may be applicable depending on the circumstances.

Medical necessity is established by the presence of symptoms suggestive of cardiac arrhythmias or other cardiac events requiring remote monitoring, or when continued monitoring is clinically necessary for appropriate management of pre-existing cardiac conditions.Documentation should support the need for this level of monitoring compared to alternative, less intensive methods.

The clinical responsibility includes electrode placement, device programming (if applicable), interpretation of the electrocardiographic data, correlation of findings with the patient's symptoms and medical history, and generation of a final report for the physician.This also includes any necessary communication with the patient regarding their condition.

IMPORTANT For subcutaneous cardiac rhythm monitoring, consider codes 33285, 93285, 93291, and 93298.If the patient undergoes monitor recording for less than 24 hours, report unlisted procedure code 93799.For telemetry at-home devices that are not event monitors but provide real-time monitoring, some carriers may require 93799 or Holter monitor codes (93224-93229) with modifier 22.

In simple words: This code covers the doctor's work in reviewing and interpreting heart rhythm data from a special device the patient wears for up to a month. The device records the heart rhythm automatically when the patient experiences symptoms and then sends the information to the doctor for analysis. The doctor looks at the information, considers the patient’s medical history, and sends a report to the referring physician.

This CPT code encompasses the professional component of an external patient, auto-activated electrocardiographic rhythm derived event recording with symptom-related memory loop and remote download capability lasting up to 30 days.It includes 24-hour attended monitoring and the physician's or other qualified healthcare professional's review and interpretation of the recorded data.The service involves the placement of electrodes, continuous recording of the patient's heart rhythm, transmission of data, and a comprehensive analysis of the electrocardiographic findings, correlated with the patient's symptoms and medical history. A final report is generated for the referring physician.

Example 1: A patient presents with recurrent episodes of palpitations. An event monitor is applied, recording heart rhythms automatically triggered by symptoms or patient activation. Data is transmitted remotely.The physician reviews the data, identifies an intermittent atrial fibrillation, and initiates appropriate treatment., A patient experiences syncope. An event monitor is implanted.The patient triggers recordings during symptomatic episodes. The physician reviews the data to evaluate the cause of the syncope, identifies a significant bradycardia event, and adjusts the treatment plan accordingly. , A patient with known heart failure and history of arrhythmias is monitored with an auto-activated event monitor for 30 days.The remote monitoring system detects a significant arrhythmia. The physician reviews the data, communicates with the patient, and arranges for emergent intervention.

Complete patient history, including presenting symptoms, relevant medical history (e.g., previous cardiac events, medications), and physical examination findings.Detailed description of the event monitor used (model, manufacturer), date and time of application, date and time of removal, the number of events recorded, and the physician's complete interpretation of the ECG data and resulting clinical recommendations.

** This code should only be reported by a physician or other qualified healthcare professional who is directly involved in the interpretation and clinical management of the data.

  • Revenue Code: T2C (OTHER TESTS - EKG MONITORING)
  • Global Days : This code's global period is 30 days; billing is limited to one instance per 30-day period, regardless of the number of readings.
  • Payment Status: Active
  • Modifier TC rule: Technical component (TC) modifiers do not apply to this code as this represents the professional component of the service only. The technical component would be billed separately if applicable.
  • Specialties:Cardiology, Electrophysiology
  • Place of Service:Office, Hospital (inpatient or outpatient), Ambulatory Surgical Center, other locations as clinically appropriate
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