![]() ![]() The physician interpreting the test must be identified on the claim form with his/her sequence number in Box 24K. The name and NPI number of the referring/ordering physician or qualified non-physician practitioner must be reported in boxes 17 and 17a of CMS-1500 form or in the EAO record fields 20.0 (for NPI number) and 22.0 (name) when submitting electronically.Ĥ. List the ICD-9 code(s) indicating the reason for the test.ģ. For less than 12 hours continuous recording, modifier -52 (reduced services) should be appended. When submitting claims for physician review and interpretation (CPT code 93227) use the date the service was performed as the DOS.Į. When submitting claims for the recording only (CPT code 93225) or for the analysis with report only (CPT code 93226) use the date the service was performed as the DOS.ĭ. Use the date of physician review as the date of service (DOS).Ĭ. These services may be reported globally with CPT codes 93224. The documentation in the progress notes must reflect medical necessity for the service.ī. *CPT codes for holter monitoring services (CPT codes 93224-93227) are intended for up to 48 hours of continuous recording. Please refer to CCI for correct coding guidelines and specific applicable code combinations prior to billing Medicareġ. This information does not take precedence over CCI edits. The HCPCS/CPT code(s) may be subject to Correct Coding Initiative (CCI) edits. Subsequent ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial ST elevation (STEMI) and non-ST elevation (NSTEMI) myocardial infarction I21.0-I21.4 ICD-10-CM Description ICD-10-CM Code/ RangeĪtrial fibrillation and flutter I48.0-I48.92Ĭardiac murmurs and other cardiac sounds R01.0-R01.2Ĭhronic ischemic heart disease I25.10-I25.9 ![]() ICD-10-CM codes and/or ranges are provided below to help with your decision process. ![]() Report proper ICD-10-CM diagnosis codes to support the medical necessity for the use a Holter monitor. Holter monitors (93224-93227) include up to 48 hours of continuous recording.Cardiovascular monitoring services are diagnostic medical procedures using in-person and remote technology to assess cardiovascular rhythm (ECG) data.Procedure Manual Instructions for Cardiovascular Monitoring Services It is the responsibility of the provider to determine the correct coding for services provided. Physician fee schedule values listed are based on a national average and are rounded for brevity. Always check with the specific payer for the appropriate use of any procedure or ICD-10 codes. This information is provided only as a guide and is not intended to replace any official recommendations or guidelines, and does not constitute a promise or guarantee by Midmark regarding coverage or payment. The following is a summary of Current Procedural Terminology (procedure ) codes commonly used for various Holter monitoring procedures performed with a Midmark Holter device. 93224 – External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage includes recording, scanning analysis with report, review and interpretation by a physician or other qualified health care professional – Average fee payment – $93ĩ3225 – External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage recording (includes connection, recording, and disconnection) – Average fee payment – $27ĩ3226 – External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage scanning analysis with report Average fee payment – $38ĩ3227 – External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage review and interpretation by a physician or other qualified health care professional – $27
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