Holter monitor billing starts with how long your patient wore the device. A 14-day patch billed as a 48-hour Holter goes out on the wrong code. We code each monitor from the recorded wear time, and we sort out the vendor's part.
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A Holter worn up to 48 hours bills as 93224. It covers the hookup, the analysis and your read. Split, it is 93225, 93226 and 93227.
93224 and 93227 on 1 claim bill your read twice, and the second line denies. The code follows the recorded time, not the order. A Holter removed at 20 hours is still 93224.
Past 48 hours, 3 to 7 days is 93241 global. Its parts are the hookup 93242, the analysis 93243 and the read 93244. 8 to 15 days is 93245 global, split the same way into 93246, 93247 and 93248.
With a vendor patch, the vendor's IDTF bills the analysis, 93243 or 93247. You bill the hookup if your staff applied it, and your signed read. A global code on your claim overlaps the vendor's, and it denies.
A 14-day patch pulled on day 5 bills from the 3 to 7 day family.
Coding and claims93242, 93244
Your hookup and your read
93246, 93248
Your hookup and your read
An event monitor worn up to 30 days is 93268 global. By part, it is 93270, 93271 and 93272.
Mobile cardiac telemetry is 93228 for your review and 93229 for the technical service. Neither goes out before the wear period ends.
Implantable loop recorders bill as devices: 33285 to insert, 93291 in the office, 93298 remote.
We check all 5 before a claim goes out, and appeal any denial with your note.
Device checks| Code | What it covers |
|---|---|
| 93224 to 93227 | Holter, up to 48 hours |
| 93241 to 93244 | External ECG, 3 to 7 days |
| 93245 to 93248 | External ECG, 8 to 15 days |
| 93268, 93270 to 93272 | Event monitor, up to 30 days |
| 93228, 93229 | MCOT, up to 30 days |
| 33285, 93291, 93298 | Implantable loop recorder insertion and checks |
We show you, by payer, which monitors went out on the wrong code, and which were denied. Free, no strings.
3% of collectionsNo setup feeNo contract