How To Use CPT Code 93226

CPT 93226 describes the external electrocardiographic recording up to 48 hours by continuous rhythm recording and storage, specifically focusing on the scanning analysis with report. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 93226?

CPT 93226 can be used to report the scanning analysis with report portion of an external electrocardiographic recording that lasts up to 48 hours. This code is specifically for the evaluation and interpretation of the recorded data to detect abnormal heart rates and rhythms.

2. Official Description

The official description of CPT code 93226 is: ‘External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report.’

3. Procedure

  1. The healthcare professional provides instructions to the patient on how to use the external electrocardiographic (ECG) recorder.
  2. The ECG electrodes are placed on the patient’s chest, and the patient wears a small lightweight recorder or monitor on a belt.
  3. The device continuously records and stores the electrical activity of the patient’s heart for up to 48 hours while the patient goes about their normal activities.
  4. After the recording period, the patient returns to the healthcare professional, and the device is removed.
  5. The recorded data is then downloaded onto a computer for scanning analysis.
  6. The healthcare professional performs a scanning analysis of the data, compiling and interpreting the relevant information and arrhythmias.
  7. A report is generated, documenting the findings of the scanning analysis.

4. Qualifying circumstances

CPT 93226 is used when a healthcare professional evaluates the patient’s heart rhythm during a 48-hour external ECG recording. The patient must be instructed on how to use the ECG recorder, and the recording must be continuous and uninterrupted. The healthcare professional must perform the scanning analysis and generate a report based on the recorded data.

5. When to use CPT code 93226

CPT code 93226 should be used when the healthcare professional performs the scanning analysis with report portion of an external ECG recording that lasts up to 48 hours. This code should not be used for the connection of the ECG recorder or for the physician review and interpretation of the recorded data.

6. Documentation requirements

To support a claim for CPT 93226, the healthcare professional must document the following information:

  • Date and duration of the external ECG recording
  • Instructions provided to the patient on how to use the ECG recorder
  • Details of the scanning analysis performed, including any relevant findings and arrhythmias
  • Compilation and interpretation of the data
  • Generation of a report documenting the scanning analysis

7. Billing guidelines

When billing for CPT 93226, ensure that the healthcare professional performs the scanning analysis with report portion of the external ECG recording. This code should not be reported if other components of the ECG recording, such as the connection or physician review and interpretation, are also performed. Modifier 59 may be required to indicate that the scanning analysis with report is a separate and distinct procedure. It is important to check with the payer for specific billing guidelines and modifiers.

8. Historical information

CPT 93226 has undergone historical changes. It was added to the Current Procedural Terminology system on January 1, 1990. Since then, there have been updates to the code, including changes in 2009 and 2011. These changes reflect advancements in technology and the specific components of the service.

9. Examples

  1. A cardiologist performs a scanning analysis with report for a patient who underwent a 48-hour external ECG recording to evaluate their heart rhythm.
  2. An electrophysiologist interprets the findings of a scanning analysis for a patient who wore an external ECG recorder for 48 hours to detect any abnormal heart rates or rhythms.
  3. A cardiac technician analyzes the recorded data from a 48-hour external ECG recording and generates a report documenting the patient’s heart rhythm for a cardiologist’s review.
  4. A healthcare professional performs a scanning analysis with report for a patient who underwent a 48-hour external ECG recording to monitor their heart activity during a specific period of time.
  5. An arrhythmia specialist reviews the scanning analysis report generated from a 48-hour external ECG recording to identify any abnormal heart rhythms or patterns.
  6. A cardiac nurse analyzes the recorded data from a 48-hour external ECG recording and compiles a report summarizing the patient’s heart rhythm for the healthcare team’s reference.
  7. A healthcare professional performs a scanning analysis with report for a patient who wore an external ECG recorder for 48 hours to assess their heart rhythm and detect any potential abnormalities.
  8. An electrocardiography technician reviews the scanning analysis report generated from a 48-hour external ECG recording and highlights any significant findings for a cardiologist’s evaluation.
  9. A cardiac nurse specialist interprets the results of a scanning analysis for a patient who underwent a 48-hour external ECG recording to monitor their heart rhythm and identify any irregularities.
  10. A healthcare professional performs a scanning analysis with report for a patient who wore an external ECG recorder for 48 hours to assess their heart’s electrical activity and detect any potential issues.

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