Medicare CPT Code & Reimbursement

Quick Guide

Extended Wear Holter (EWH) with monitoring lengths of 3-7 days and 8+ days will be covered by Medicare, starting 1 January 2021. Below are the new codes you will need to use when billing for Extended Wear Holters.

Services Provided

Who bills for each code

1-2 days
Up to 48hrs

3-7 days
More than 48hrs,
up to 7 days

8+ days
More than 7 days,
up to 15 days

Holter Placement/Removal
Dr. Office, Clinic, Hospital

93225

93242

93246

Scanning/Analysis with report
Cardiac Monitoring Service

93226

93243

93247

Interpretation of test results Interpreting
Interpreting Clinician

93227

93244

93248

Recording, Scanning analysis with report, Review and interpretation (Global Billing)
Fee-For-Service Clients

93224

93241

93245

                   Previous codes for all Holters

New Extended Wear Holter codes

Information contained in this publication is not to be construed as legal or billing advice. CPT® is a registered trademark of the American Medical Association. All CPT® information provided in this publication is intended for illustration purposes only, and should be independently verified prior to billing application

CPT CODE INFORMATION