EXTERNAL ELECTROCARDIOGRAPHIC RECORDING

External Electrocardiographic Recording-PDF Download

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The use of auto activated external electrocardiographic event recordings may be considered medically necessary in. the outpatient setting and are noncovered for inpatient or outpatient observation care. The date of service is reported on the claim as the date the monitoring period is initiated i e the date the patient is. first placed on the monitor,Documentation Guidelines. Documentation should include a history and physical exam The record should document the evaluation which focuses. on the cause s of the presenting symptoms and or the need for this testing Some examples are. The patient record has an evaluation and management service that documents the symptoms experienced by the. The patient has had a full workup in the past month with initial tests performed and presents with continuing. symptoms that indicate the need for up to 48 hour monitoring or long term monitoring. The patient requires a change in antiarrhythmic medication In this case an assessment of the patient s. complaints the name of the medication stopped and the name of the new medication should be indicated. The CED provider s records must include the referring physician s request for the test and the indications for the. test This information should be incorporated into a formal report interpretation of the test. Documentation of necessity should include the referring physician s diagnostic impression and an indication of. relevant signs and symptoms, Records must include EKG rhythm strips with interpretation for each transmission The date and time of each. transmission when the symptoms occurred and what the symptoms were must be documented for each. transmission The medical record should also include when the reviewing physician and the ordering physician. were notified of the transmission and its results, All documentation must be maintained in the patient s medical record and available to UnitedHealthcare upon request. APPLICABLE CODES, The following list s of codes is provided for reference purposes only and may not be all inclusive Listing of a code in. this guideline does not imply that the service described by the code is a covered or non covered health service. Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws. that may require coverage for a specific service The inclusion of a code does not imply any right to reimbursement or. guarantee claim payment Other Policies and Guidelines may apply. CPT Code Description, External electrocardiographic recording for more than 48 hours up to 21 days by.
0295T continuous rhythm recording and storage includes recording scanning analysis with. report review and interpretation, External electrocardiographic recording for more than 48 hours up to 21 days by. 0296T continuous rhythm recording and storage recording includes connection and initial. External electrocardiographic recording for more than 48 hours up to 21 days by. continuous rhythm recording and storage scanning analysis with report. External electrocardiographic recording for more than 48 hours up to 21 days by. continuous rhythm recording and storage review and interpretation. External mobile cardiovascular telemetry with electrocardiographic recording. concurrent computerized real time data analysis and greater than 24 hours of. accessible ECG data storage retrievable with query with ECG triggered and patient. selected events transmitted to a remote attended surveillance center for up to 30. days review and interpretation with report by a physician or other qualified health. care professional, External mobile cardiovascular telemetry with electrocardiographic recording. concurrent computerized real time data analysis and greater than 24 hours of. accessible ECG data storage retrievable with query with ECG triggered and patient. 93229 selected events transmitted to a remote attended surveillance center for up to 30. days technical support for connection and patient instructions for use attended. surveillance analysis and transmission of daily and emergent data reports as. prescribed by a physician or other qualified health care professional. External Electrocardiographic Recording Page 2 of 20. UnitedHealthcare Medicare Advantage Policy Guideline Approved 11 13 2019. Proprietary Information of UnitedHealthcare Copyright 2019 United HealthCare Services Inc. CPT Code Description, External patient and when performed auto activated electrocardiographic rhythm. derived event recording with symptom related memory loop with remote download. capability up to 30 days 24 hour attended monitoring includes transmission review. and interpretation by a physician or other qualified health care professional. External patient and when performed auto activated electrocardiographic rhythm. derived event recording with symptom related memory loop with remote download. capability up to 30 days 24 hour attended monitoring recording includes. connection recording and disconnection, External patient and when performed auto activated electrocardiographic rhythm. 93271 derived event recording with symptom related memory loop with remote download. capability up to 30 days 24 hour attended monitoring transmission and analysis. External patient and when performed auto activated electrocardiographic rhythm. derived event recording with symptom related memory loop with remote download. capability up to 30 days 24 hour attended monitoring review and interpretation by. a physician or other qualified health care professional. CPT is a registered trademark of the American Medical Association. ICD 10 Diagnosis Codes, Coding Clarification Do NOT report 0295T 0298T in conjunction with 93224 93272 for the same monitoring period.
ICD 10 Diagnosis Code Description,For CPT Codes 93228 and 93229. G45 0 Vertebro basilar artery syndrome,G45 1 Carotid artery syndrome hemispheric. G45 2 Multiple and bilateral precerebral artery syndromes. G45 3 Amaurosis fugax,G45 4 Transient global amnesia. G45 8 Other transient cerebral ischemic attacks and related syndromes. G45 9 Transient cerebral ischemic attack unspecified. I20 0 Unstable angina,I20 1 Angina pectoris with documented spasm. I20 8 Other forms of angina pectoris,I20 9 Angina pectoris unspecified.
I21 01 ST elevation STEMI myocardial infarction involving left main coronary artery. ST elevation STEMI myocardial infarction involving left anterior descending. coronary artery, ST elevation STEMI myocardial infarction involving other coronary artery of anterior. I21 11 ST elevation STEMI myocardial infarction involving right coronary artery. ST elevation STEMI myocardial infarction involving other coronary artery of inferior. I21 21 ST elevation STEMI myocardial infarction involving left circumflex coronary artery. I21 29 ST elevation STEMI myocardial infarction involving other sites. I21 3 ST elevation STEMI myocardial infarction of unspecified site. I21 4 Non ST elevation NSTEMI myocardial infarction. I21 9 Acute myocardial infarction unspecified,I21 A1 Myocardial infarction type 2. I21 A9 Other myocardial infarction type, I22 0 Subsequent ST elevation STEMI myocardial infarction of anterior wall. I22 1 Subsequent ST elevation STEMI myocardial infarction of inferior wall. I22 2 Subsequent non ST elevation NSTEMI myocardial infarction. I22 8 Subsequent ST elevation STEMI myocardial infarction of other sites. External Electrocardiographic Recording Page 3 of 20. UnitedHealthcare Medicare Advantage Policy Guideline Approved 11 13 2019. Proprietary Information of UnitedHealthcare Copyright 2019 United HealthCare Services Inc. ICD 10 Diagnosis Code Description,For CPT Codes 93228 and 93229. I22 9 Subsequent ST elevation STEMI myocardial infarction of unspecified site. I24 0 Acute coronary thrombosis not resulting in myocardial infarction. I24 1 Dressler s syndrome,I24 8 Other forms of acute ischemic heart disease.
I24 9 Acute ischemic heart disease unspecified, I25 10 Atherosclerotic heart disease of native coronary artery without angina pectoris. I25 110 Atherosclerotic heart disease of native coronary artery with unstable angina pectoris. Atherosclerotic heart disease of native coronary artery with angina pectoris with. documented spasm, Atherosclerotic heart disease of native coronary artery with other forms of angina. Atherosclerotic heart disease of native coronary artery with unspecified angina. I25 2 Old myocardial infarction,I25 3 Aneurysm of heart. I25 41 Coronary artery aneurysm,I25 5 Ischemic cardiomyopathy. I25 6 Silent myocardial ischemia, Atherosclerosis of coronary artery bypass graft s unspecified with unstable angina.
Atherosclerosis of coronary artery bypass graft s unspecified with angina pectoris. with documented spasm, Atherosclerosis of coronary artery bypass graft s unspecified with other forms of. angina pectoris, Atherosclerosis of coronary artery bypass graft s unspecified with unspecified. angina pectoris, Atherosclerosis of autologous vein coronary artery bypass graft s with unstable. angina pectoris, Atherosclerosis of autologous vein coronary artery bypass graft s with angina. pectoris with documented spasm, Atherosclerosis of autologous vein coronary artery bypass graft s with other forms.
of angina pectoris, Atherosclerosis of autologous vein coronary artery bypass graft s with unspecified. angina pectoris, Atherosclerosis of autologous artery coronary artery bypass graft s with unstable. angina pectoris, Atherosclerosis of autologous artery coronary artery bypass graft s with angina. pectoris with documented spasm, Atherosclerosis of autologous artery coronary artery bypass graft s with other forms. of angina pectoris, Atherosclerosis of autologous artery coronary artery bypass graft s with unspecified.
angina pectoris, Atherosclerosis of nonautologous biological coronary artery bypass graft s with. unstable angina pectoris, Atherosclerosis of nonautologous biological coronary artery bypass graft s with. angina pectoris with documented spasm, Atherosclerosis of nonautologous biological coronary artery bypass graft s with other. forms of angina pectoris, Atherosclerosis of nonautologous biological coronary artery bypass graft s with. unspecified angina pectoris, External Electrocardiographic Recording Page 4 of 20.
UnitedHealthcare Medicare Advantage Policy Guideline Approved 11 13 2019. Proprietary Information of UnitedHealthcare Copyright 2019 United HealthCare Services Inc. ICD 10 Diagnosis Code Description,For CPT Codes 93228 and 93229. I25 750 Atherosclerosis of native coronary artery of transplanted heart with unstable angina. Atherosclerosis of native coronary artery of transplanted heart with angina pectoris. with documented spasm, Atherosclerosis of native coronary artery of transplanted heart with other forms of. angina pectoris, Atherosclerosis of native coronary artery of transplanted heart with unspecified. angina pectoris, Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable. Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina. pectoris with documented spasm, Atherosclerosis of bypass graft of coronary artery of transplanted heart with other.
forms of angina pectoris, Atherosclerosis of bypass graft of coronary artery of transplanted heart with. unspecified angina pectoris, I25 790 Atherosclerosis of other coronary artery bypass graft s with unstable angina pectoris. Atherosclerosis of other coronary artery bypass graft s with angina pectoris with. documented spasm, Atherosclerosis of other coronary artery bypass graft s with other forms of angina. Atherosclerosis of other coronary artery bypass graft s with unspecified angina. Atherosclerosis of native coronary artery of transplanted heart without angina. Atherosclerosis of bypass graft of coronary artery of transplanted heart without. angina pectoris, I25 84 Coronary atherosclerosis due to calcified coronary lesion. I25 89 Other forms of chronic ischemic heart disease. I25 9 Chronic ischemic heart disease unspecified,I31 0 Chronic adhesive pericarditis.
I31 1 Chronic constrictive pericarditis,I34 0 Nonrheumatic mitral valve insufficiency. I34 1 Nonrheumatic mitral valve prolapse,I34 2 Nonrheumatic mitral valve stenosis. I34 8 Other nonrheumatic mitral valve disorders, I34 9 Nonrheumatic mitral valve disorder unspecified. I42 0 Dilated cardiomyopathy,I42 1 Obstructive hypertrophic cardiomyopathy. I42 2 Other hypertrophic cardiomyopathy,I42 3 Endomyocardial eosinophilic disease.
I42 4 Endocardial fibroelastosis,I42 5 Other restrictive cardiomyopathy. I42 6 Alcoholic cardiomyopathy, I42 7 Cardiomyopathy due to drug and external agent. I42 8 Other cardiomyopathies,I42 9 Cardiomyopathy unspecified. I43 Cardiomyopathy in diseases classified elsewhere. I44 0 Atrioventricular block first degree, External Electrocardiographic Recording Page 5 of 20. UnitedHealthcare Medicare Advantage Policy Guideline Approved 11 13 2019. Proprietary Information of UnitedHealthcare Copyright 2019 United HealthCare Services Inc. ICD 10 Diagnosis Code Description,For CPT Codes 93228 and 93229.
I44 1 Atrioventricular block second degree,I44 2 Atrioventricular block complete. I44 30 Unspecified atrioventricular block,I44 39 Other atrioventricular block. I44 4 Left anterior fascicular block,I44 5 Left poste. External electrocardiographic recording for more than 48 hours up to 21 days by continuous rhythm recording and storage review and interpretation 93228 External mobile cardiovascular telemetry with electrocardiographic recording concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage retrievable with query with ECG triggered and patient

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