How To Use CPT Code 93270

CPT 93270 describes the external patient monitoring service for electrocardiographic rhythm derived event recording with symptom-related memory loop and remote download capability up to 30 days. 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 93270?

CPT 93270 can be used to describe the external patient monitoring service for electrocardiographic rhythm derived event recording with symptom-related memory loop and remote download capability up to 30 days. This code is used when a provider places electrocardiogram leads on the patient’s chest and records the patient’s rhythm on a continuous loop for up to 30 days. The recorded data is then transmitted to a receiving station for analysis by a trained provider.

2. Official Description

The official description of CPT code 93270 is: ‘External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; recording (includes connection, recording, and disconnection)’

3. Procedure

1. The provider places electrocardiogram leads on the patient’s chest.
2. The monitor records the patient’s rhythm on a continuous loop for up to 30 days.
3. The patient uses the device to transmit the recorded data before and during symptoms such as chest pain.
4. The transmitted data is received and analyzed by a trained provider.
5. Based on the evaluation of the ECG tracings, the provider advises the patient on the most appropriate action to take.

4. Qualifying circumstances

This service is appropriate for patients who experience cardiac symptoms and require continuous monitoring of their heart rhythm. The provider must place electrocardiogram leads on the patient’s chest and record the rhythm on a continuous loop for up to 30 days. The patient must also be able to transmit the recorded data to a receiving station for analysis by a trained provider.

5. When to use CPT code 93270

CPT code 93270 should be used when a provider performs external patient monitoring for electrocardiographic rhythm derived event recording with symptom-related memory loop and remote download capability up to 30 days. This code should be used for each recording session that lasts up to 30 days. It is important to note that this code represents the technical component of the recording only, including the connection, recording, and disconnection of the device.

6. Documentation requirements

To support a claim for CPT 93270, the provider must document the following information:

• Patient’s symptoms and the need for continuous monitoring
• Date and duration of the recording session
• Details of the recorded data and any significant findings
• Actions taken by the provider based on the evaluation of the ECG tracings
• Signature of the provider performing the service

7. Billing guidelines

When billing for CPT 93270, ensure that the provider performs the external patient monitoring service as described in the official description. This code represents the technical component of the recording only. It is important to check whether the patient receives the monitor from the office or facility, or via mail, as this may affect the billing process. Additionally, ensure that the patient sends at least one transmission to confirm the proper functioning of the device.

8. Historical information

CPT 93270 was added to the Current Procedural Terminology system on January 1, 1995. There have been several changes to the code over the years, including updates to the description and terminology.

9. Examples

1. A patient experiences chest pain and uses an event recorder to transmit the recorded data to a receiving station for analysis by a trained provider.
2. A provider places electrocardiogram leads on a patient’s chest and records the rhythm on a continuous loop for up to 30 days. The recorded data is then analyzed to determine the appropriate course of action.
3. A patient with a history of arrhythmias uses an event recorder to monitor their heart rhythm for 30 days. The recorded data is transmitted to a receiving station for analysis by a trained provider.
4. A provider instructs a patient on the proper use of an event recorder and the transmission of recorded data. The patient uses the device to monitor their heart rhythm and transmit the data for analysis.
5. A patient experiences palpitations and uses an event recorder to record and transmit the data to a receiving station. The recorded data is then analyzed by a trained provider to determine the cause of the palpitations.
6. A provider places electrocardiogram leads on a patient’s chest and records the rhythm on a continuous loop for up to 30 days. The recorded data is transmitted to a receiving station for analysis and interpretation by a trained provider.
7. A patient with a history of syncope uses an event recorder to monitor their heart rhythm for 30 days. The recorded data is transmitted to a receiving station for analysis and interpretation by a trained provider.
8. A provider evaluates the recorded data from an event recorder worn by a patient with suspected arrhythmias. Based on the analysis, the provider advises the patient on the appropriate course of action.