CPT 93244

CPT 93244 Description, Guidelines, Reimbursement, Modifiers & Example (2022)

CPT 93244 bills for service when the physician performs External Electrocardiographic Recording for more than 48 hours up to 7 days by continuous rhythm recording and storage, review, and interpretation. 

CPT 93244 Description

This falls under diagnostic services, and the 93244 CPT code comes under category I codes (93241-93248). The following category III codes, 0295T, 0296T, 0297T, and 0298T, were deleted, and new codes were added to category I from Jan 1, 2021.

CPT 93241 bills for service when the physician performs external electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage, including recording, scanning analysis with report, review, and interpretation.

93244 cpt code

CPT 93242 bills for service when the physician performs external electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage. Billing includes recording (includes connection and initial recording). 

cpt code 93244

CPT 93243 bills for service when the physician performs external electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage, scanning analysis with a report.

93244 cpt code description

CPT 93244 bills for service when the physician performs external electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage, review, and interpretation.

93244

CPT 93245 bills for service when the physician performs external electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage, including recording, scanning analysis with report, review, and interpretation.

93245

CPT 93246 bills for service when the physician performs external electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage, recording (includes connection and initial recording).

93246

CPT 93247 bills for service when the physician performs external electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage, scanning analysis with a report.

93247

CPT 93248 bills for service when the physician performs external electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage, physician review, and interpretation.

93248

An electrocardiogram CPT 93244 provides a record of cardiac function by a waveform. Any abnormal function or event that disrupts the normal functioning of the heart can be diagnosed from the ECG wave with the help of an ECG monitor.

Conventional ECG machines pick up signals for a very short duration and present data recorded within that interval. However, modern ECG recording procedures have evolved so much that continuous monitoring is possible even while the subject is moving. 

The external electrocardiographic recording is recommended where continuous recording is required. Such a type of recording ECG waves can go beyond 48 hours amidst various physical activities, including sleep.

A Holter monitor is a device that provides continuous ECG waves and can detect even minor deformities that could be missed with conventional recording. 

The CPT 93244 external electrocardiographic recording is most needed in the following cases. 

  • Cardiac arrhythmias
  • Chest pain (Angina pectoris)
  • Palpitations
  • History of Myocardial Infarction
  • Shortness of breath
  • Coronary Artery Disease
  • Acute Coronary Thrombosis
  • Dressler’s syndrome
  • Acute Ischemic heart disease
  • Atherosclerotic heart disease
  • Aneurysm of heart and coronary artery
  • Cardiomyopathy
  • AV block

CPT 93244 Billing Guidelines

The patient record must have a detailed past medical history linked to the necessity of external electrocardiographic recording CPT 93244.

The frequency of symptoms that have occurred over the past must be documented. Reasons for advancing to external electrocardiographic recording must be specified, mentioning why previously recorded short-term signals are not satisfactory. 

Diagnosed illness should be documented and correlated with the inferences obtained from the external electrocardiographic recording. Further treatment plans to proceed must also be specified.

CPT 93244 Modifiers

If a continuous electrocardiographic recording CPT 93244 is prescribed and the recording is stopped within 12 hours, then modifier 52 can be used, indicating reduced services.

CPT 93244 Reimbursement

Standard prices for the CPT codes 93241-93248 are as follows :

CPT 93242 – $14.58 (non-facility), $33.84 (facility), 0.45 (RVUs)

CPT 93243 – $55.66 (facility)

CPT 93244 – $23.33 (non-facility), 0.72 (RVUs)

CPT 93246 – $14.58 (non-facility), 0.45 (RVUs)

CPT 93247 – $111.95 (facility)

CPT 93248 – $25.60 (non-facility), 0.79 (RVUs)

CPT 93244 Examples

The following are examples of when CPT 93244 may be billed.

Example 1

A 52-year-old male patient comes for consultation and complains of mild chest pain for the past two days. Unfortunately, he misunderstood it as a gastric disturbance and took three doses of over-the-counter medicines.

The patient reports that he does not smoke or drink alcohol. He appears healthy with a normal BMI. The patient has no history of chronic disorders. 

The physician performs initial checks on blood pressure and lung functions. He then requests a 12-lead ECG to obtain a waveform. Finally, as the symptoms have subsided but re-occur occasionally, the physician advises the patient to go for an external electrocardiographic recording.

This recording goes on for 72 hours. The obtained waveform is evaluated. After analysis, the PR interval is found to be greater than 0.2. The patient is diagnosed with an AV block. The physician refers him to a cardiologist for further treatment.

Example 2

A 58-year-old female visits the outpatient clinic and complains of nausea and shortness of breath for the past three days. Symptoms are found to be intermittent and occur at random intervals. The patient denies smoking and alcohol. She takes a normal diet and appears healthy.

The physician checks her blood pressure and records it as 160/90. Considering her age, the physician requests External Electrocardiographic Recording as many cardiac abnormalities are asymptomatic. Therefore, diagnosis of such abnormalities can be missed with a short-duration ECG. 

The patient is recommended to wear an external electrocardiographic recording device. 

Clear instructions are given.

The recording is completed after 48 hours. The patient is suspected of Coronary Artery Disease. 

The physician proposes a further treatment plan with an echocardiogram as the next step after a consultation with a cardiologist. 

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