Cardiology Coding Alert

Plus: Get the date-of-service facts for 24-hour monitoring. Assume billing 24-hour electrocardiogram (ECG) monitoring for 48-hour evaluations is a breeze? The answer may be more complicated than you think because the solution will depend upon your carrier's preference. Many coders also express confusion about what day to report the Holter for 24-hour services. Does the date depend on when the cardiologist applied the device (initiated date) or when the cardiologist interpreted the results (completion date)? The answer is: It depends. Here's a breakdown of the different approaches you might come across. Research Global Vs. Component for 24-Hour Date The descriptors for 93224-93227, 93230-93233, and 93235-93237 all begin with "Wearable electrocardiographic rhythm derived monitoring for 24 hours ..." Reality: A 24-hour period translates to the hookup being performed on one day and the cardiologist performing the interpretation on another day. That means you have to determine which date of service your [...]