How To Use CPT Code 93243

CPT 93243 describes the scanning analysis with report of an external electrocardiographic recording that has been worn by a patient for more than 48 hours, up to 7 days, to detect abnormal heart rates and rhythm. 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 93243?

CPT 93243 is used to describe the scanning analysis with report of an external electrocardiographic recording that has been worn by a patient for more than 48 hours, up to 7 days. This code represents only the analysis and reporting of the electrocardiographic findings.

2. Official Description

The official description of CPT code 93243 is: ‘External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report.’

3. Procedure

1. After a patient wears an external electrocardiographic recorder for more than 48 hours, up to seven days, and removes the device, the data collected is analyzed.
2. A processing center technician performs a scanning analysis of the data, noting frequency, duration, and symptomatic rhythm correlations.
3. The technician then prepares a report of the electrocardiographic findings.

4. Qualifying circumstances

CPT 93243 is used when a patient has worn an external electrocardiographic recorder for more than 48 hours, up to 7 days, to detect abnormal heart rates and rhythm. The scanning analysis with report is performed by a processing center technician.

5. When to use CPT code 93243

CPT code 93243 should be used when a patient has completed wearing an external electrocardiographic recorder for more than 48 hours, up to 7 days, and the data collected needs to be analyzed and reported. This code represents only the scanning analysis with report and should not be used for other components of the electrocardiographic recording process.

6. Documentation requirements

To support a claim for CPT 93243, the documentation should include:

• Confirmation that the patient wore the external electrocardiographic recorder for more than 48 hours, up to 7 days
• Details of the scanning analysis performed, including frequency, duration, and symptomatic rhythm correlations
• A report of the electrocardiographic findings

7. Billing guidelines

When billing for CPT 93243, ensure that the scanning analysis with report is performed by a processing center technician. This code represents only the analysis and reporting of the electrocardiographic findings. It should not be reported with other codes for components of the electrocardiographic recording process.

8. Historical information

CPT 93243 was added to the Current Procedural Terminology system on January 1, 2021. There have been no updates to the code since its addition.

9. Examples

1. A patient wears an external electrocardiographic recorder for 72 hours to monitor their heart rhythm. After the recording period, a processing center technician performs a scanning analysis and prepares a report of the findings.
2. Following a 5-day external electrocardiographic recording, a processing center technician analyzes the data collected and generates a report detailing the frequency, duration, and symptomatic rhythm correlations.
3. After wearing an external electrocardiographic recorder for 7 days, a patient’s data is sent to a processing center where a technician performs a scanning analysis and provides a report of the electrocardiographic findings.
4. A processing center technician reviews the data from a patient’s external electrocardiographic recording, performs a scanning analysis, and prepares a report of the findings after the patient wore the recorder for 3 days.
5. Following a 6-day external electrocardiographic recording, a processing center technician analyzes the data collected, notes the frequency, duration, and symptomatic rhythm correlations, and generates a report of the electrocardiographic findings.
6. After wearing an external electrocardiographic recorder for 72 hours, a patient’s data is sent to a processing center where a technician performs a scanning analysis and provides a report detailing the findings.
7. A processing center technician reviews the data from a patient’s external electrocardiographic recording, performs a scanning analysis, and prepares a report of the findings after the patient wore the recorder for 5 days.
8. Following a 7-day external electrocardiographic recording, a processing center technician analyzes the data collected, notes the frequency, duration, and symptomatic rhythm correlations, and generates a report of the electrocardiographic findings.
9. After wearing an external electrocardiographic recorder for 48 hours, a patient’s data is sent to a processing center where a technician performs a scanning analysis and provides a report detailing the findings.
10. A processing center technician reviews the data from a patient’s external electrocardiographic recording, performs a scanning analysis, and prepares a report of the findings after the patient wore the recorder for 7 days.