cpt 93228, cpt code 93228, 93228 cpt code

CPT Code 93228 | Description, Procedure & Billing Guidelines (2022)

CPT 93228 may be billed for reviewing and interpreting electrocardiographic ECG data to detect abnormalities in the patient’s heart rate.

1. What Is CPT Code 93228?

The 93228 code represents a procedure in which a provider interprets and reviews electrocardiographic data collected from continuous transmission and recording and aims to detect abnormal heart rhythms and rates. The provider reports the outcome of this procedure.

2. Description

The CPT book describes CPT code 93228 as follows: “External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real-time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with a query) with ECG triggered and patient selected events transmitted to a remote attended surveillance center for up to 30 days; review and interpretation with a report by a physician or other qualified health care professional.”

3. Procedure

A patient’s heartbeat and rhythm are continuously recorded by a monitor that records their heart activity day and night.

The 93228 procedure starts with a provider evaluating the data provided by the electrocardiographic device and looking for abnormalities and signs of arrhythmia.

Finally, the provider reports their findings and ends the procedure.

4. Billing Guidelines

CPT code 93228 only includes the professional component. The provider has to rely on their skills and knowledge to analyze the data provided by the electrocardiographic device. Therefore, you can not bill 93228 with modifier TC or modifier 26.

Do not report CPT 93228 more than once every 30 days.

The 93228 CPT code can not be billed with CPT 93227 or CPT 93224.

CPT 93228 is a Telemed code.

5. Resources

CPT Professional 2022

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57476

https://www.aapc.com/codes/coding-newsletters/my-cardiology-coding-alert/cardiac-monitoring-part-1-solidify-your-external-mct-claims-with-expert-advice-163050-article

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56606

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