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The CPT® Code 93247 refers to the process of external electrocardiographic recording that spans a duration of more than 7 days and up to 15 days. This procedure involves continuous rhythm recording and storage, accompanied by a scanning analysis that culminates in a comprehensive report. In simpler terms, this long-term electrocardiographic (ECG) monitoring allows for the assessment of a patient's heart rhythm over an extended period while they engage in their normal daily activities. The technology utilized in this procedure typically consists of a compact, lightweight, and waterproof device that integrates both the electrodes and the recording apparatus into a single unit. This device is strategically placed on the upper left chest of the patient, ensuring optimal contact for accurate readings. Once the device is affixed, an initial test recording is conducted to confirm functionality. The patient is then educated on how to properly use and care for the device throughout the monitoring period. The ECG rhythm is continuously recorded and stored for the specified duration, providing valuable data on the patient's cardiac activity. Upon completion of the monitoring phase, the patient returns the device to the healthcare facility, where the recorded data is downloaded for further analysis. A computerized system performs a detailed scanning analysis of the ECG data, and a report is generated. This report is subsequently reviewed by a physician or another qualified healthcare professional, who interprets the findings and provides a written summary of the results. The coding for this procedure is specific, with different codes assigned for various components of the service, ensuring accurate billing and documentation of the entire process.
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The procedure associated with CPT® Code 93247 is indicated for patients who require long-term monitoring of their cardiac rhythm to assess for potential arrhythmias or other heart-related issues. This may include patients experiencing symptoms such as:
The procedure for CPT® Code 93247 involves several key steps to ensure accurate and effective monitoring of the patient's cardiac rhythm over an extended period. The process begins with the placement of the external ECG recording device on the upper aspect of the patient's left chest. This device is designed to be compact and lightweight, allowing for ease of wear during daily activities. Once positioned, the device is tested to confirm that it is functioning correctly, and an initial recording is obtained to establish a baseline for the patient's heart rhythm.
Following the initial setup, the patient receives instructions on how to use and care for the device throughout the monitoring period. This education is crucial, as it ensures that the patient understands how to maintain the device and what to expect during the recording phase. The device is then activated, and it begins to continuously record and store the ECG rhythm for a duration that exceeds 7 days but does not exceed 15 days. This extended monitoring allows for the capture of any intermittent arrhythmias or other cardiac events that may occur during the patient's normal activities.
At the conclusion of the monitoring period, the patient returns to the healthcare facility to return the device. The recorded data is then downloaded from the device, and a computerized analysis is performed to evaluate the ECG data. This analysis is critical for identifying any abnormalities in the heart's rhythm. A report is generated based on the scanning analysis, which is subsequently reviewed by a physician or other qualified healthcare professional. The healthcare provider interprets the findings and compiles a written report that summarizes the results of the monitoring, providing valuable insights into the patient's cardiac health.
After the completion of the external electrocardiographic recording, the patient may be advised on follow-up care based on the findings from the ECG analysis. The physician will discuss the results with the patient, which may include recommendations for further testing, lifestyle modifications, or treatment options if any abnormalities are detected. The patient may also be instructed to monitor their symptoms and report any new or worsening issues. Additionally, the healthcare provider may schedule a follow-up appointment to review the findings in detail and determine the next steps in the patient's care plan. Overall, the post-procedure phase is essential for ensuring that the patient receives appropriate care based on the results of the long-term ECG monitoring.
| Short Descr | EXT ECG>7D<15D SCAN A/R | Medium Descr | EXTERNAL ECG REC>7D<15D SCANNING ALYS W/REPORT | Long Descr | External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 3 - Technical Component Only Code | Multiple Procedures (51) | 6 - Special payment adjustment rules on the technical component (TC) of multiple diagnostic cardiovascular services apply... | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 01 - Procedure must be performed under the general supervision of a physician. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
| GZ | Item or service expected to be denied as not reasonable and necessary | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | GW | Service not related to the hospice patient's terminal condition | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2021-01-01 | Added | Code added. |
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