External loop recorder monitoring, 30 days

CPT 93271 is the billing code for "External loop recorder monitoring, 30 days". For monitoring with external loop recorder for 30 days

Medicare pays approximately $132.62 for CPT 93271 (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 93271 has a total RVU of 5.15, broken down as: Work RVU 1.50, Practice Expense RVU 3.50, and Malpractice RVU 0.15. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 93271 include: Indication for monitoring; Duration of monitoring; Patient activation events; Monitoring findings. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 93271: Includes 30-day monitoring. Includes data download Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 93271 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 93271 is 30 days monitoring period. Time-based codes require documentation of the actual time spent providing the service.