External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real-time data analysis and greater than 24 hours of accessible ECG data storage (retrievable, queryable, and reportable); real-time data analysis and interpretation, per 30 days

CPT 93228 is the billing code for "External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real-time data analysis and greater than 24 hours of accessible ECG data storage (retrievable, queryable, and reportable); real-time data analysis and interpretation, per 30 days". For mobile cardiovascular telemetry with real-time analysis and interpretation per 30 days

Medicare pays approximately $24.26 for CPT 93228 (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 93228 has a total RVU of 7.75, broken down as: Work RVU 2.50, Practice Expense RVU 5.00, and Malpractice RVU 0.25. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 93228 include: Indication for mobile telemetry; Duration of monitoring; Real-time analysis findings; Interpretation and report. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 93228: Includes 30 days monitoring. Includes real-time analysis and interpretation Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 93228 include: 26 (Professional component only (interpretation)), TC (Technical component only (equipment/staff)), 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 93228 is 30 days monitoring period. Time-based codes require documentation of the actual time spent providing the service.