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