Reimbursement
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ECG Monitoring Reimbursement
Mobile Cardiac Telemetry
- 93228: Professional component of this service and includes review and interpretation of each 24-hour cardiac surveillance as well as 24-hour availability and response to monitoring events within a course of treatment that includes up to 30 consecutive days of cardiac monitoring.
- 93229: Technical component of this service and includes all of the following within a course of treatment that includes up to 30 consecutive days of cardiac monitoring:
a. Patient hook-up and patient-specific instruction and education.
b. Transmission and receipt of ECG.
c. Analysis of ECG by nonphysician personnel.
d. Medical chart documentation including daily report, patient and/or physician interaction and response, and summary report at the end of the monitoring episode.
e. Equipment maintenance.
f. All supplies necessary for completion of the monitoring.
Wireless Event Monitoring
- 93268: Auto-activated ECG rhythm derived event recording with symptom-related memory with remote download capability up to 30 Days, 24-hour attended monitoring; includes transmission, review and interpretation by a physician or other qualified healthcare professional.
Holter
- 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.
Extended Holter
- 93242: External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording).
- 93244: External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; review and interpretation.
- 93246: External electrocardiographic recording more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording).
- 93248: External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; review and interpretation.
RPM Reimbursement
- 99453: Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education for the use of equipment.
- 99454: Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days.
- 99457: Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month.
- 99458: Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; additional 20 minutes.