Procedure Codes For Cardiac Monitoring

by | Data

There are four categories of ambulatory cardiac monitoring available to physicians: Holter Monitor, Event Monitor, Mobile Cardiac Telemetry (MCT) and Long Term Electrocardiogram (ECG). These monitors vary with the length of time data is recorded and how that data is analyzed and interpreted. These monitors have different procedure codes associated with them.

Holter monitors are continuous monitors intended for up to 48 hours of continuous monitoring:

93224 – a global code for the three activities below with a holter monitor
93225 – record the telemetry (includes connection, recording and disconnection)
93226 – scanning analysis with a report
93227 – review and interpretation the report by a physician or other qualified healthcare professional

Long Term Electrocardiogram (ECG) are continuous monitors that record for more than 48hours up to 21 days:

0295T – a global code for the activities below with a long term ECG
0296T – record the telemetry (includes connection and initial recording)
0297T – scanning analysis with a report
0298T – review and interpretation the report by a physician or other qualified healthcare professional

Event monitors are worn for up to 30 days, where events are triggered automatically by the ECG rhythm or manually by the patient, with 24-hour attended monitoring.:

93268 – a global code for the activities below with an event monitor
93270 – record the telemetry (includes connection, recording and disconnection)
93271 – transmission and analysis of the data with a report
93272 – review and interpretation the report by a physician or other qualified healthcare professional

Mobile Cardiac Telemetry (MCT) are monitors that are worn for 24 hours up to 30 days, where events are triggered automatically by the EG rhythm, or manually by the patient. This includes review and interpretation of each 24-hour cardiac surveillance as well as 24-hour availability and response to monitoring events.

93228 – review and interpret, with a report by a physician or other qualified healthcare professional
93229 – technical support for connection and patient instructions for use, attended surveillance, analysis and transmission of daily and emergent data reports as prescribed by a physician or other health care professional

Because these procedures have global codes which captures the various sub-procedures, care needs to be taken to generate estimates for each monitoring type.  In aggregate, these codes will provide the shape of each practice, from which sales strategies can be built.

About us:

DocCheer’s physician targeting software platform lets you find physicians in your area, with data that’s already analyzed and bucketed with procedure codes that are relevant to you. It’s simple, readable and mobile friendly. If you want to learn more, contact us.