The CPT code set describes medical, surgical, and diagnostic services. The following information includes the commonly billed physician codes for cardiac monitoring services/procedures. Consult patient payors to learn more about local requirements and conditions for submission and payment.
| Code | Description |
| 93224 (Global) | Electrocardiographic monitoring for 24 hours by continuous original ECG waveform recording and storage, with visual superimposition scanning; includes recording, scanning analysis with report, physician review and interpretation |
| 93225 | Recording (includes hook-up, recording, and disconnection) |
| 93226 | Scanning analysis with report |
| 93227 | Physician review and interpretation |
| Code | Description |
| 0295T (Global) | External electrocardiographic recording for more than 48 hours up to 21 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation |
| 0296T | Recording (includes connection) |
| 0297T | Scanning analysis with report |
| 0298T | Physician review and interpretation |
Documentation supporting medical necessity is vital for ensuring proper reimbursement. Include the following recommended documentation components to support the claim:
Disclaimer: This information is provided only as a guide and is not intended to replace any official recommendations or guidelines, and does not constitute advice or a promise or guarantee by Warriors Medical regarding coverage or payment. Always check with the patient’s insurance plan for the appropriate use of any CPT procedure or ICD-10-CM diagnosis.
ICD-10-CM Diagnosis Codes
Extended Holter Monitors are indicated for use in detecting arrhythmia in a wide range of diagnosis, it is important to document the indicators for Long Term Cardiac Monitoring (greater than 48 hours) rather than a regular 24-48-hour Holter, common reasons include a non-diagnostic Holter and infrequent symptoms unlikely to be detected on a 24-48-hour scan.
The following is a list of commonly use ICS-10-CM codes that may assist you in documenting Medical necessity. This is not an exhaustive list of all available codes, and it is possible that there are more appropriate codes for any given diagnosis or symptom. Include all appropriate ICD-10 diagnosis codes and supporting clinical documentation when submitting claims.
Please Note: it is important that you check the Local Coverage Determination from your local Medicare Administrative Contractor as well as your Payors for covered ICD-10 codes as well as other specific requirements and policy updates.
| CD-10-CM | ICD-10-CM Diagnosis Code/Range |
| I45.9 | Conduction disorder, unspecified |
| I47.1 | Supraventricular tachycardia |
| I47.2 | Ventricular tachycardia |
| I47.9 | Paroxysmal tachycardia |
| I48.0 | Paroxysmal atrial fibrillation |
| I48.11 | Longstanding persistent atrial fibrillation |
| I48.19 | Other, persistent atrial fibrillation |
| I48.20 | Chronic atrial fibrillation, unspecified |
| I48.21 | Permanent atrial fibrillation |
| I48.3 | Typical atrial flutter |
| I48.4 | Atypical atrial flutter |
| I48.91 | Unspecified atrial fibrillation |
| I48.92 | Unspecified atrial flutter |
| I49.1 | Atrial premature depolarization |
| I49.01 | Ventricular fibrillation |
| I49.02 | Ventricular flutter |
| I49.3 | Ventricular premature depolarization |
| I49.40 | Unspecified premature depolarization |
| I49.49 | Other premature depolarization |
| I49.5 | Sick sinus syndrome |
| I49.8 | Other specified cardiac arrhythmias |
| I49.9 | Cardiac arrhythmia, unspecified |
| I63.9 | Cerebral infarction, unspecified |
| R00.1 | Bradycardia, unspecified |
| R00.2 | Palpitations |
| R42 | Dizziness and giddiness [light-headedness] |
| R55 | Syncope and collapse |
| R56.01 | Complex febrile convulsions |