External electrocardiographic recording >48 hours up to 21 days by continuous rhythm recording and storage; review and interpretation only

CPT 93227 is the billing code for "External electrocardiographic recording >48 hours up to 21 days by continuous rhythm recording and storage; review and interpretation only". For review and interpretation of previously obtained extended ECG monitoring

Medicare pays approximately $17.47 for CPT 93227 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 93227 has a total RVU of 2.18, broken down as: Work RVU 0.80, Practice Expense RVU 1.30, and Malpractice RVU 0.08. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 93227 include: Indication for interpretation; Review findings; Interpretation and report; Recommendations. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 93227: Includes review and interpretation only. Recording and analysis coded separately Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 93227 include: 26 (Professional component only), 59 (Distinct procedural service if performed separately). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 93227 is 10-20 minutes typical procedure time. Time-based codes require documentation of the actual time spent providing the service.