93015 cpt code, cpt 93015, cpt code 93015

CPT Code 93015 | Cardiovascular Stress Tests

CPT 93015 can be reported for cardiovascular stress tests. This can be a submaximal or maximal bicycle or treadmill exercise.

1. Description

CPT code 93015 is officially described by the CPTs manual as: “Cardiovascular stress test using a maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation, and report.”

cpt code 93015
Description of CPT 93015

2. Procedure

During the 93015 CPT code procedure, a health provider supervises a patient during bicycle or treadmill exercises. The provider can also administer medication to the patient, increasing the heart rate.

Then, the health provider checks the patient’s blood pressure and analyzes the heart’s electrical activity with an electrocardiograph at regular intervals while the patient’s heart is under stress due to medication or exercise.

The data is collected and interpreted, and the provider creates a report with findings and potential abnormalities.

3. Billing Guidelines

Do not report modifier 26, modifier TC, or a Professional or Technical component with CPT 93015 because it already represents the professional and technical component of this service.

Do not report CPT code 93015 with the technical component only. You can use CPT 93017 instead.

It is also impossible to report only the professional component with CPT 93015. However, you can bill CPT 93016 or CPT 93018 instead.

You can find the billing guide for all stress test CPT codes here.

4. Reimbursement 

Below you can find the costs and RUVs for CPT code 93015.

Facility: $80.96 and 2.33960.

Non-Facility: $80.96 and 2.33960.

Do only bill one unit on the same date.

5. Historical Information

DatePrevious Descriptor
01-01-2013Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with physician supervision, with interpretation and report
01-01-1990CPT 93015 was added.

6. Resources

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57184

https://www.ama-assn.org/practice-management/claims-processing/win-doctors-anthem-rescinds-pay-cut-same-day-services

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